Left Ventricular Partial Thickness Injury from Ballistic Injury to the Chest: Case Report
Colin D Brown, MD, MS1, Jonathan Nguyen2. 1Dwight D. Eisenhower Army Medical Center, 2Grady Memorial HospitalBackground: Penetrating cardiac injury has increased in frequency in recent years and is well defined both in its repair and prognosis. However, there is little data to guide the treatment and prognosis of a large partial thickness injury to the… Continue Reading
Management of Concomitant Vein Injury in the Setting of Military Popliteal Artery Trauma: Limb Outcomes Assessment
Jordan L Guice, MD, MPH, Shaun M Gifford, MD, Kai Hata, MD, Xiaoming Shi, Brandon W Propper, David S Kauvar. San Antonio Military Medical CenterObjectives: Despite aggressive limb salvage attempts, military popliteal artery injuries are associated with high amputation rates. Combined arterial and venous injuries present a management dilemma for military surgeons in austere settings… Continue Reading
MASSIVE SPLENIC INFARCTION FROM HYPOPERFUSION
Nancy Panko, MD, Seeyuen Lee, MD, Melissa Boyle, MD, Phillip Leggett, MD. Houston Northwest Medical CenterIntroduction: Massive splenic infarction (MSI) due to hypoperfusion is rare, with only one source documenting MSI from hypoperfusion in a patient with septic shock. We report a case of MSI managed with laparoscopic splenectomy three weeks after an exploratory laparotomy… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Military Experience in the Management of Pelvic Fractures from OIF/OEF
William J Parker, MD, Robert Despain, MD, Jeffrey Bailey, MD, Eric Elster, MD, Carlos Rodriguez, MD, MBA, Matthew Bradley, MD. Walter Reed National Military Medical CenterIntroduction: Pelvic fractures are a common occurrence in combat trauma. However, the fracture pattern and management within the most recent conflicts has yet to be described, especially in the context… Continue Reading
Military Experience with Trauma Induced ARDS on the Battlefield
Sarah Thomas, MD1, Ryan Rhie, MPH1, Lydia Piper, MD1, James Aden, PhD1, Phillip Mason, MD1, Jennifer Gurney, MD2, James Lantry, MD3, Terry Lonergan, MD3, Brendan Beely, RRT4, Daniel Wendorff4, Andriy Batchinsky, MD4, Valerie Sams, MD1. 1SAMMC, 2ISR, 3Baltimore CSTARS, 4Geneva FoundationOBJECTIVES: Combat injury patterns in Operations Iraqi and Enduring Freedom have changed as a result… Continue Reading
Multi-Modal Minimally Invasive Approach to Boerhaave’s Syndrome: A Case Report
Kalyan Gorantla, MD, MBA, Seeyuen Lee, MD, MPH. University of Texas at Houston/Houston Northwest Medical CenterBackground: Boerhaave’s syndrome, or effort rupture of the esophagus, is a life-threatening emergency and fatal if left untreated. It is associated with high morbidity and mortality often due to a delay in diagnosis. Given the critical nature of the disease,… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Nationwide Blunt Cerebrovascular Injury Outcomes in the Pediatric Population: Big Problems in Little Patients
Christoper W Marenco, MD1, Woo Do, MD1, Daniel Lammers, MD1, Matthew Eckert, MD1, Carly Eckert, MD1, Denis Bensard, MD2, Matthew J Martin, MD1. 1Madigan Army Medical Center, 2Children's Hospital ColoradoObjectives: Blunt cerebrovascular injury (BCVI) is an uncommon but potentially devastating injury with consequences including stroke and death. The epidemiology, outcomes, and screening criteria are well described… Continue Reading
Non-Elective Paraesophageal Hernia Repair: A Comparison of Surgical Approach and 30-day Outcomes using NSQIP
William C Sherrill, MD, Brent D Matthews, MD, Caroline E Reinke, MD, MSHP. Carolina Medical CenterBackground: Over the past decade with the continuing increase of minimally invasive surgery (MIS) techniques, complex MIS procedures such as laparoscopic paraesophageal hernia (PEH) repair are on the rise. The majority of these hernia repairs are being performed in the… Continue Reading
- Topic:
- Acute Care Surgery
OBESITY IN COMBAT-WOUNDED AMPUTEES
Kelli Ishihara, MD, Grant Sizemore, MD, Scott Nguyen, MD, Freeman Condon, MD, Bridgette Colgan, MD, John Mayo, Erik Criman, Dylan Russell, Mike Lustik, MS, Robert Lim, MD. Tripler Army Medical CenterIntroduction: The Joint Theater Trauma Registry (JTTR) has recorded 1239 individuals in the United States Armed Forces who sustained a combat-related amputation during the Global… Continue Reading
PERFORATED APPENDICITIS WASH OR DRY ABDOMINAL CAVITY: MYTH OR REALITY
Carlos A Rosero, MDFACS, Andres G Moreno, MDFACS. Hospital Carlos Andrade Marín, Quito, EcuadorIntroduction: Seeking the best treatment of the peritoneal cavity in case of secondary peritonitis is a surgeons’ permanent concern and it is essential for the adequate management of the patient. Objective: To compare the results of thoroughly washing the peritoneal cavity vs… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Peritoneal adhesions seen during laparoscopic appendicectomy post prior pelvic floor surgery
Pravish Rai Sookha, MD, MS, PhD. Welkin hospital, Clinic Muller, Clinic du NordDuring the last 226 adult female appendicectomies, 55 were found to have underwent prior open pelvis floor surgeries. The most common surgeries included LSCS, ovarian cystectomy, salpingo-oophrectomy and endometriosis. Due to prior open surgery scars, all the surgeries were started with the Hasson’s… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Posterior Gastric Perforation with Laparoscopic Omental Patch Repair
Derek Lim, DO1, Shinban Liu, DO1, Nicholas Morin, DO1, Vadim Meytes, DO2. 1NYU Langone Medical Center - Brooklyn, 2Vassar Brothers Medical CenterCase Presentation: A 64-year-old female with a past medical history of chronic back pain with daily NSAID use had complaints of 5 days of abdominal pain, malaise, nausea, and vomiting. She was tachycardic in… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
‘Rare case of mesentrico axial gastric volvulus – A series of three cases’
Sumita Jain, Professor. SMS HospitalGastric Volvulus was first described in 1896 by Berti. It is a rotation of stomach around a fixed axis which is greater than 180 degrees. The incidence if this in males and females are equal. It is mainly observed in infants and young adults and rarely seen in the elderly (>50… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Retroperitoneal duodenal foreign body perforation – A novel laparoscopic approach
Nicholette Goh, MBBS, Sunder Balasubramaniam, Wee Ming Tay, Mui Heng Goh. Tan Tock Seng HospitalInstroduction: Gastrointestinal perforation from foreign bodies can lead to life threatening sepsis, and pose a significant challenge given the need to drain the septic source as well as safely extract the offending object. Case Description: A 71-year-old Chinese lady presented with abdominal pain… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
ROLE OF ENDOSCOPY IN THORACO ABDOMINAL IMPALEMENT INJURY
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Shekhar A Jadhav, MS, FMAS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Shirish R Bhagvat, MS, FMAS, Jalbaji P More, MS, Venkat A Gite, MS, DNB. Grant Govt.Medical College and Sir JJ Group of Hospitals, MumbaiBackground: Thoraco-abdominal impalement injuries are rare. Very few cases… Continue Reading
- Topic:
- Acute Care Surgery