A COMPARATIVE STUDY BETWEEN APACHE II SCORING AND MANNHEIM PERITONITIS INDEX TO ASSESS PROGNOSIS IN PERFORATION PERITONITIS
Nikhil Gupta, Dr, Himanshu Agrawal, Dr, Arun K Gupta, Dr, Dipankar Naskar, Dr, C K Durga, Dr. PGIMER Dr RML Hospital, DelhiIntroduction: Peritonitis is the inflammation of the serous membrane that lines the abdominal cavity and the organ contained therein and is one of the most common infections, and an important problem that a surgeon… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
A COMPARISON OF SHORT-TERM OUTCOMES BETWEEN LAPAROSCOPIC AND OPEN EMERGENT REPAIR OF PERFORATED GASTRIC ULCERS
Daniel L Davenport, PhD1, Walker R Ueland, BSc2, Margaret Plymale, DNP3, Andrew C Bernard, MD3, John S Roth, MD3. 1University of Kentucky, Department of Surgery, 2University of Kentucky, College of Medicine, 3University of Kentucky, Division of General SurgeryIntroduction: We sought to compare 30-day outcomes in patients undergoing emergent open and laparoscopic repair of perforated gastric… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
A Study of Laparoscopic Repair of Small Bowel Perforation
Ajay Bhandarwar, MS, Amol Wagh, MS, Saurabh Gandhi, MS, Shubham Gupta, MS, Eham Arora, MS, Gagandeep Talwar. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaObjective: Small bowel perforation has conventionally been dealt with open exploration, which frequently leads to many wound-related complications. Wound infection is the major reason for increasing morbidity in… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Castleman’s disease: An acute care surgeon’s perspective.
Najiha Farooqi, MD1, Daoning Liu, MD2, Keaton Joppru1, Greta Berger1, Muhammad Maaz, MD1, Chunyi Hao, MD2, James V Harmon, MD, PhD, FACS1. 1University of Minnesota, 2Peking University Cancer Hospital and InstituteIntroduction: Castleman’s disease(CD) is a very rare, lymphoproliferative disorder associated with a Rhadinoviral infection of B lymphocytes and can be either unicentric or multicentric in… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Cecal volvulus and internal hernia, a rare case presentation in a bariatric patient.
Demin Aleksandr, DO, Ajit Singh, DO, Noman Khan, DO. Flushing HospitalIntroduction: Internal hernias are known complications that are well documented to involve Peterson’s defect. In bariatric patient’s post gastric bypass there is a high index of suspicion for internal hernias as well as a low threshold to operate. There have been some debates around the… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Clinical Comparison between Laparoscopic Appendectomy and Open Appendectomy for Treating Complicated Appendicitis
Tomoya Takami. Departments of Surgery, Kishiwada Tokushukai Hospital.Background: Appendectomy is one of the most common operations performed during emergency surgery. Although laparoscopic appendectomy (LA) has become the treatment of choice, there is still a debate regarding the use of LA for treating complicated appendicitis. In this retrospective analysis, we aimed to clinically compare LA and… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
COMBAT THORACIC SURGERY IN RECENT CONFLICTS: 2002-2016.
Zsolt Stockinger, MD, Caryn Turner, MPH, Jennifer Gurney, MD. Joint Trauma SystemObjectives: Thoracic surgery constitutes 2.5% of surgical procedures performed in theater, but these are increasingly foreign to military surgeons. This study examines thoracic surgical workload in Iraq and Afghanistan to help define surgical training gaps. Methods: Retrospective analysis of Department of Defense Trauma Registry… Continue Reading
Delayed Presentations of Trauma Encountered during Large-Scale US Navy Humanitarian Aid Missions
Jason B Brill, LCDR, MC, USN, James D Wallace, LCDR, MC, USN, Romeo C Ignacio, CAPT, MC, USN. Naval Medical Center San DiegoObjectives: A 1000-bed floating hospital, USNS Mercy (T-AH 19) has provided large-scale humanitarian aid (HA) throughout Southeast Asia. As the focus of these missions, designated Pacific Partnership (PP), is to provide low risk,… Continue Reading
Diagnostic and Therapeutic Laparoscopy in Trauma.
Emanuela S Alvarenga, MD, Shlermine Aupont, MD, Wade Douglas, MD, FACS, Alexander Ramirez, MDFACS. Florida State UniversityThis video presents a diagnostic and therapeutic approach utilizing laparoscopy for blunt abdominal trauma as a safe and effective management in hemodynamically stable patients. Depicted is a 45 year old female who was brought the Emergency Department after a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
EMERGENCY LAPAROSCOPIC PARTIAL SPLENECTOMY IN PEDIATRIC BLUNT SPLENIC TRAUMA
Giancarlo Basili, MD, Dario Pietrasanta, MD, Federico Filidei, MD, Nicola Romano, MD, Aurelio Costa, MD. Pontedera General Hospital, General Surgery DepartmentIntroduction: The incidence of splenic injury in blunt abdominal trauma has been reported as high as 25% in literature. The management has undergone major changes over the past from nearly mandatory laparotomy with splenectomy, to… Continue Reading
- Topic:
- Acute Care Surgery
Emergent Laparoscopic Sleeve Gastrectomy for Gastric Necrosis
Apurva Trivedi, DO1, Jacob A Petrosky, MD2, Jai Prasad, MD2, Ryan D Horsley, DO3. 1Geisinger Wyoming Valley, 2Geisinger Medical Center, 3Geisinger Community Medical CenterThe management of a surgical hemodynamically unstable patient is generally not managed laparoscopically. Our patient is a 47-year-old female with a past medical history of diabetes, asthma, morbid obesity and 24 pack-year… Continue Reading
- Topic:
- Acute Care Surgery
EXPERIENCE IN ECMO TRANSPORT AND INPATIENT MANAGEMENT AT A MILITARY REFERRAL FACILITY
Lydia Piper, MD1, Andriy Batchinsky, MD2, Philip Mason, MD1, Matthew Read, MD1, Lloyd Tannenbaum, MD1, Christine Soohoo, MD1, James Huang, PAC1, Valerie Sams, MD1. 1SAMMC, 2USAISRIntroduction: Acute respiratory failure and acute respiratory distress syndrome (ARDS) in patients with severe thoracic or polytrauma remains difficult to treat, often resulting in high incidence of mortality or lasting… Continue Reading
He nailed it
Hugo Bonatti. University of Maryland Community Medical groupBackground: Nail guns are powerful tools and are widely used. Injuries with these devices may be devastating due to the significant force they can deploy. Patients and methods: We herein report a first case of a self inflicted abdominal injury with a nail gun. Results: A 55 year… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Improving Fasciotomy Performance: A Focused Needs Assessment for Military Surgeon Simulation Training
Walter B Kucera, MD, Matthew D Nealeigh, DO, Brenton Franklin, MD, Mark Bowyer, MD, W. Brian Sweeney, MD, E. Matthew Ritter, MD. Uniformed Services University / Walter Reed National Military Medical CenterObjectives: Many injuries from the wars in Iraq and Afghanistan involve extremity trauma secondary to blasts. The wounding patterns from these blasts predispose patients to… Continue Reading
Intestinal Obstruction secondary to torsion / diverticular inflammation of a Meckel’s Diverticulum in an adult
Ryan Robalino, DO, Vadim Meytes, DO, Robert L Davis, MD. NYU Langone Hospital - BrooklynBackground: Acute abdominal pain caused by small bowel obstruction is amongst the most common entities facing acute care surgeons. The vast majority to these obstructions (>90%) are secondary to adhesions, hernias, and malignancy. Miscellaneous causes, such as Meckel’s diverticulum (MD), make… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery