TRAUMA LAPAROTOMY. Know it well!
Standard approach:
✔️ Stem to stern (xiphoid to pubis)
✔️ Take down falciform ligament
✔️ Pack all 4 quadrants
✔️ Explore systematically
✔️ Control bleeding and contamination
✔️ Decide: Damage control?
🧵 1/3
@RicardoRGlz 1.- Drenaje de absceso y buscar qué lo originó.
2.- Control de infección y estimular cicatrización (presión negativa)
3.- Realizar TAPP electiva en otro internamiento.
Small bowel obstruction outcomes according to compliance with the World Society of Emergency Surgery Bologna guidelines
➡️ https://t.co/ZZcE1ToUp3
The multinational prospective study SnapSBO evaluates the real-world impact of adherence to the WSES Bologna guidelines on adhesive small bowel obstruction outcomes
Across 70 centres in 20 countries, higher compliance correlates with reduced length of stay and improved patient outcomes, yet full adherence remains infrequent, particularly in operative cases
These findings highlight persistent evidence-to-practice gaps and underscore the need for targeted implementation strategies to enhance guideline adoption and optimize adhesive small bowel obstruction management
Work by Lewis J Kaplan , Isidro Martinez-Casas , Shahin Mohseni , Matteo Cimino , Hayato Kurihara , Matthew J Lee , Gary A Bass , SnapSBO Collaborators
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@des_winter@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide #SoMe4Trauma #emgensurg @WSESurgery@NELANews #EmLap @ASGBI_MA #some4peds #emergency #acutecare #ileus
🇯🇵 Mastering the dissection of the first jejunal branches during pancreatoduodenctomy
🏣 Japanese surgeons secret weapon: sketching the anatomy of each case before surgery!
La matriz de Eisenhower, también conocida como la caja de Eisenhower o la matriz urgente/importante, es un marco de trabajo simple para priorizar las tareas y administrar la carga de trabajo.
High Complication Rate After Early Ileostomy Closure: Early Termination of the Short Versus Long Interval to Loop Ileostomy Reversal After Pouch Surgery Randomized Trial
https://t.co/ByezL8lF6y
@audreykulaylat@jonvogel7@holubarstefan@VitaliyPoylin @scottregenbogen