1993
DOI: 10.1097/00005373-199302000-00009
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Delayed Gastrointestinal Reconstruction Following Massive Abdominal Trauma

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Cited by 70 publications
(25 citation statements)
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“…The patient is then stabilised on the intensive care unit (ICU) and a second laparotomy is performed after 48 hours for reconstruction. 36 No studies have evaluated the safety of pancreaticogastrostomy versus pancreaticojejunostomy in the trauma setting. It should only be performed by an experienced HPB surgeon in a tertiary unit with adequate ICU and radiological support.…”
Section: Operative Managementmentioning
confidence: 99%
“…The patient is then stabilised on the intensive care unit (ICU) and a second laparotomy is performed after 48 hours for reconstruction. 36 No studies have evaluated the safety of pancreaticogastrostomy versus pancreaticojejunostomy in the trauma setting. It should only be performed by an experienced HPB surgeon in a tertiary unit with adequate ICU and radiological support.…”
Section: Operative Managementmentioning
confidence: 99%
“…The nature and severity of the injury and the coexisting damage to vessels is often accompanied by hemody- namic instability and the surgeon must therefore perform damage control surgery, and delay formal reconstruction until the patient has been stabilized [41]. The results of this operation vary, and when patients with major retroperitoneal vascular injuries are included mortality can reach 50% [42].…”
Section: Pancreaticoduodenectomy (Whipple's Procedure)mentioning
confidence: 99%
“…However, occasionally split-thickness skin grafts or even tissue transfer techniques may be necessary. Complications of extremity injuries include compartment syndrome, ischaemia with resultant amputation 17 and deep vein thrombosis 18 with venous hypertension; they are associated with a high mortality rate.…”
Section: Extremity Injurymentioning
confidence: 99%