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Surgical maneuvers have been developed over years of experience to enable the surgeon to gain access to injuries of deep abdominal structures, identify these injuries and address them appropriately. Complete left medial visceral rotation or Mattox maneuver is one such intraoperative surgical innovation which has revolutionized the trauma surgery since the 1970s. This activity describes how to perform the mattox maneuver and its indications.
Objectives:Review how to perform the Mattox maneuver.Describe the indications for performing the Mattox maneuver.Explain the anatomy of the retroperitoneal space.Summarize the importance of interprofessional team members utilizing the Mattox maneuver to improve outcomes in patients who have experienced trauma of the retroperitoneal space.Access free multiple choice questions on this topic.
Trauma may require non-invasive treatments, such as immobilization with casts, splints or bandages. However, they may also involve surgery or surgical interventions requiring the installation of screws and other materials. Physicians who work in this branch of medicine are called traumatologists and are surgeons.There is a subspecialty called sports traumatology that deals with everything related to injuries and trauma in high-level athletes. We hope you enjoy every title in our collection of more than 15 traumatology books in PDF format available right now for download.Here we present our complete selection of Traumatology books:1) Traumatology and Orthopaedics Manual for students and practical doctorsDepartment of Traumatology and Orthopedics of the National Medical University
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NOM in penetrating liver trauma could be considered only in case of hemodynamic stability and absence of: peritonitis, significant free air, localized thickened bowel wall, evisceration, impalement (GoR 2 A).
At present, there is no single method to accurately diagnose colon injuries caused by blunt abdominal trauma. There are some studies suggesting the efficacy of repetitive physical examination and observation in diagnosing colon injury caused by blunt abdominal trauma in the first six hours, during which the signs of peritoneal irritation appear [11]. Tenderness, guarding, distension and abdominal wall contusion are valuable findings on physical examination. However, the absence of these findings does not rule out intra-abdominal pathology. The presence of leukocytosis becomes significant when interpreted together with the findings from physical examinations and the results of other diagnostic methods [12]. Plain radiographs are not reliable in detecting the presence of a significant injury; the results appear normal in most cases [13]. Ultrasonography has been widely used to evaluate blunt abdominal trauma [14]. Ultrasonographic findings of free fluid in the abdomen, particularly between the intestinal loops without the presence of solid organ injury, may indicate a bowel injury. Computed tomography is the most appropriate diagnostic tool to document abdominal injury; however, its diagnostic value for patients with colon injury remains controversial. On computed tomography, presence of free air in the abdomen and extravasation of the contrast agent are significant findings [15].
Handling trauma injury is challenging and risky. You should know how to deal with it so the action will not worsen the injury. Trauma 9th Edition, pdf, ebook, and free download by David V. Feliciano is a book you need to understand the safest ways to handle trauma injuries. 2b1af7f3a8