Emergency General Surgery, An Issue of Surgical Clinics

1st Edition, Volume 103-6 - October 17, 2023
Editors: Viren Premnath Punja, Paul J. Schenarts
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 2 5 4 - 9
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 2 5 5 - 6

In this issue of Surgical Clinics, guest editors Drs. Viren P. Punja and Paul J. Schenarts bring their considerable expertise to the topic of General Surgery Emergencies. Top… Read more

Emergency General Surgery, An Issue of Surgical Clinics

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In this issue of Surgical Clinics, guest editors Drs. Viren P. Punja and Paul J. Schenarts bring their considerable expertise to the topic of General Surgery Emergencies. Top experts discuss gastric, duodenal, and small bowel surgical emergencies; management of bariatric emergencies, surgical emergencies in patients with significant comorbid diseases; optimization of care for the elderly surgical emergency patient; damage control in and transfer of the emergency general surgery patient; palliative emergency general surgery; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Evaluation of Abdominal Emergencies
Key points
Introduction
History and physical examination
The history of present illness
Physical examination
Diagnostic testing and imaging
Differential diagnoses
Small bowel obstruction
Perforated viscus
Mesenteric ischemia
Volvulus
Discussion
Summary
Clinics care points
Disclosure
Supplementary data
Resuscitation and Preparation of the Emergency General Surgery Patient
Key points
Introduction
Initial evaluation
Initial resuscitation
Organ system specific issues
Summary
Clinics care points
Disclosure
Thoracic Emergencies for the General Surgeon
Key points
Introduction and nature of the problem
Anatomy
Access considerations
Trauma
Blunt chest trauma
Other thoracic emergencies
Procedures
When to call the thoracic surgeon
Summary
Clinics care points
Disclosure
Gastric, Duodenal, and Small Bowel Emergencies
Key points
Gastric emergencies
Clinics care points
Disclosure
Bariatric Surgery Emergencies in Acute Care Surgery
Key points
Introduction and bariatric surgery anatomy
Abdominal pain following bariatric surgery
Internal hernia
Other causes of small bowel obstruction
Leak after sleeve gastrectomy
Leaks after Roux-en-Y gastric bypass
Marginal ulcer
Gastric band prolapse/slipped band
Band erosion
Postoperative hemorrhage
Summary
Clinics care points
Disclosure
Management of Colonic Emergencies
Key points
Introduction
Malignancy
Diverticulitis
Inflammatory bowel disease
Functional emergencies
Summary
Clinics care points
Disclosure
Anorectal Emergencies
Key points
Introduction
Anatomy
Principles of examination in the emergency department
Thrombosed external hemorrhoids
Incarcerated and gangrenous hemorrhoids
Acute anal fissure
Acute anorectal abscess
Rectal prolapse
Acute pilonidal abscess
Unique situations
Summary
Clinics care points
Disclosure
Non-Traumatic Hepatobiliary Emergencies
Key points
Inflammatory biliary disease
Summary
Summary
Summary
Summary
Summary
Hepatic disease
Clinics care points
Disclosure
Diabetic Soft Tissue Infections
Key points
Introduction
Pathophysiology
Surgical site infections
Diabetic foot wounds
Cellulitis and abscesses
Necrotizing soft tissue infections
Pseudomonas infections
Complications of puncture wounds
Clinics care points
Disclosure
General Surgery During Pregnancy and Gynecologic Emergencies
Key points
Introduction
Evaluation of acute abdominal pain during pregnancy
Perioperative considerations during pregnancy
Recommendations for fetal monitoring during surgery
Patient positioning and anatomic considerations
Role of laparoscopy in pregnancy
Summary
Clinics care points
Surgical Emergencies in Patients with Significant Comorbid Diseases
Key points
Introduction
Prevalence
Patient evaluation overview
Treatment options
Evaluation of outcomes/long-term recommendations
Summary
Clinics care points
Disclosure
Optimization of Care for the Elderly Surgical Emergency Patient
Key points
Background
Discussion
Summary
Clinics care points—frailty
Clinics care points—delirium
Clinics care points—consent
Disclosure
Damage Control Surgery and Transfer in Emergency General Surgery
Key points
Introduction
Historical perspective
Damage control resuscitation/damage control surgery approach in emergency general surgery: understanding the core concepts
Epidemiology of damage control surgery in nontraumatic emergency surgery
Selective damage control surgery indicators in nontraumatic emergency surgery patients
Temporary abdominal closure techniques
Temporary abdominal closure-related complications
Primary fascial closure after temporary abdominal closure
Therapeutic adjuncts to facilitate primary fascial closure
Damage control surgery in severe perforated diverticulitis
Damage control surgery and transfer in emergency general surgery
Summary
Clinics care points
Disclosure
Palliative Emergency General Surgery
Key points
Introduction
Defining palliative surgery
Risk assessment for perioperative mortality in emergency general surgery
Conditions managed with palliative surgery
Abdominal catastrophe/bowel ischemia
Obstruction
Survival: discussing next steps, tracheostomy and nutrition
Clinics care points
Disclosure

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Emergency General Surgery, An Issue of Surgical Clinics

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Viren Premnath Punja

Paul J. Schenarts