Controversies in Surgery: Trauma

Stephanie Bonne; Fariha Sheikh

doi:10.1016/j.suc.2021.06.008

Controversies in Surgery: Trauma

Surg Clin North Am. 2021 Dec;101(6):1111-1121. doi: 10.1016/j.suc.2021.06.008. Epub 2021 Aug 25.

Authors

Stephanie Bonne¹, Fariha Sheikh²

Affiliations

¹ Department of Surgery, Division of Trauma and Surgical Critical Care, Rutgers, New Jersey Medical School, 150 Bergen Street, Newark, NJ 07103, USA. Electronic address: Slb391@njms.rugters.edu.
² Department of Surgery, Division of Trauma and Surgical Critical Care, Rutgers, New Jersey Medical School, 150 Bergen Street, Newark, NJ 07103, USA.

PMID: 34774272
DOI: 10.1016/j.suc.2021.06.008

Abstract

As care of the injured patient continues to evolve, new surgical technologies and new resuscitative therapies can change the algorithms that drive trauma care. In particular, the advent of resuscitative endovascular balloon occlusion of the aorta has changed the way trauma surgeons treat patients in extremis. The science of resuscitation continues to evolve, leading to controversy about the optimal administration of fluid and blood products. Laparoscopy has given additional tools to the trauma surgeon to potentially avoid exploratory laparotomy, and rib fracture fixation can be beneficial in the proper patient.

Keywords: REBOA; Resuscitation; Rib fixation; Thoracotomy; Trauma laparoscopy.

Publication types

Review

MeSH terms

Aorta / injuries*
Balloon Occlusion* / methods
Emergency Treatment
Endovascular Procedures
Humans
Laparoscopy
Laparotomy
Ribs / injuries
Ribs / surgery*
Shock, Hemorrhagic / etiology
Shock, Hemorrhagic / therapy*
Thoracotomy / methods*
Vascular System Injuries / surgery*
Vascular System Injuries / therapy