Ref:trauma-list Digest, Vol 61, Issue 31

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Long surgery. How is he today? let us know? That is what it matters now?
  Ranjith Ellawala
  Sri lanka

"McSwain, Norman E Jr." <nmcswai at tulane.edu> wrote:
  Damage control surgery with delayed anastomosis would be a consideration

What was pH, temperature, blood loss and base excess during the procedure?

Typed by the thumbs of
Norman on his BlackBerry 

Norman McSwain, MD
Tulane Univ Surgery
504 988-5111

----- Original Message -----
From: trauma-list-bounces at trauma.org 
To: trauma-list 
Sent: Fri Jul 18 19:01:33 2008
Subject: Ref:trauma-list Digest, Vol 61, Issue 31

Dear all:
Last night a 19 y old, male patient arrived to our hospital with a GSW in his abdomen, BP 90/60, conscious but combative, maybe under the influence,he was resuscitated with a 1:1 scheme of PRBC and FFP, laparotomy was performed and the findings were a perforation of ascending colon, near hepatic flexure, another perforation at about 10 cm distally in the transverse colon, viability looked compromised so a right hemicolectomy was done with ileotransverso anastomosis, he also had a perforation and mesenteric compromise of jejunum, so a resection and anastomosis was done,and he also had a perforation of the third portion of the duodenum,grade II injury, a pyloric exclusion was done and gastrostomy and jejunostomy along with a two layer closure. Drainage was placed nearby duodenum closure.
Any thoughts or comments are welcomed.

José Mayagoitia, MD, FACS
Hospital General de Mexicali, Mëxico


De : trauma-list-bounces at trauma.org
Para : trauma-list at trauma.org
Copia : 
Fecha : Fri, 18 Jul 2008 12:00:07 +0100
Asunto : trauma-list Digest, Vol 61, Issue 31


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