Airman Loses Legs in Botched Gallbladder Surgery,

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Norm

You have verbalized my thought exactly - most vascular injuries are
trochar injuries, initially not identified till a massive RP haematoma is
noted. The mistake is to not cvonvert and control with standard trauma
techniques. Free bleeding would be even more disastrous.

Tim

Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer University of KwaZulu-Natal Dept Surgery
Deputy Director - IALCH Trauma Service
Durban - South Africa

> I have heard of more organs removed thinking it was the gallbladder.
>
> One could speculate that this was a trochar punching a hole in the aorta
> without the surgeon being able to fix it and ligation of the aorta was
> done to stop the blood loss.
>
> Norman
>
> Norman McSwain MD
> Trauma Director, Charity Hospital
> Professor of Surgery, Tulane University
> New Orleans LA
> 504 988 5111
> norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu>
>
> ________________________________
>
>> Subject: Airman Loses Legs in Botched Gallbladder Surgery,
>> To: trauma-list at trauma.org, ccm-l at ccm-l.org
>> Date: Monday, July 20, 2009, 6:12 PM
>> I admit this isn't exactly trauma, but I
>> am not clear how
>> you get into the AO from gallbladder
> Lorick: This IS exactly trauma (iatrogenic, but trauma)
 Ruy Cabello-Pasini MD

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