Emergency surgical (ES) admissions in the UK are increasing. Between 1998 and 2006, there was an 18% increase in ES admissions resulting in more than half a million emergency general surgical admissions in the UK during the financial year 2005–2006. Many of these patients with relatively minor conditions were generally well and had short hospital admissions; however, a significant proportion were acutely unwell and required the full spectrum of surgical and critical care interventions and had prolonged hospital admission. In 2005–2006, there were more than 33,000 appendicectomies, more than 15,000 cases of acute pancreatitis and more than 3000 cases of diverticular perforation, taking up more than 300,000 hospital bed days. There were also a group of ES patients who were acutely unwell with sepsis and who progressed to severe sepsis and organ failure. In 2005–2006, 990 patients died of acute pancreatitis, 1671 patients died of either a perforated or bleeding duodenal ulcer and 1934 patients died of complications of diverticular disease.
Emergency Surgery by Adam Brooks, Bryan A. Cotton, Nigel Tai, and Peter F. Mahoney provides both a practical guide and an understanding of the issues that need to be considered in the management of emergency surgery patients. It presents a clear account of the key issues involved in the assessment, investigation, resuscitation and surgical management of patients who present to the on-call emergency team.
Contents
Part 1 Approach
1 The Initial Approach to the Emergency Surgery Patient
2 Preoperative Considerations
3 Emergency Anaesthesia
4 Analgesia
Part 2 Abdomen
5 Acute Appendicitis
6 Colonic Diverticulosis
7 Biliary Colic and Acute Cholecystitis
8 Perforated Peptic Ulcer
9 Fulminant Colitis
10 Mesenteric Ischaemia
11 Acute Upper Gastrointestinal Haemorrhage
12 Lower Gastrointestinal Bleeding
13 Acute Pancreatitis
14 Small Bowel Obstruction
15 Surgical Jaundice and Cholangitis
16 Large Bowel Obstruction
17 Emergency Surgical Management of Herniae
Part 3 Vascular
18 Ruptured Abdominal Aortic Aneurysm
19 Acute Limb Ischaemia
Part 4 Soft Tissue Infection
20 Superficial Sepsis, Cutaneous Abscess and Necrotising Fasciitis
Part 5 Urology
21 Emergency Urology
Part 6 Trauma
22 Abdominal Trauma: Evaluation and Decision Making
23 Thoracic Trauma: Evaluation and Decision Making
24 Vascular Trauma
25 Damage Control Surgery
26 Trauma Laparotomy
27 Operative Management of Thoracic Trauma
28 Abdominal Trauma: Operative and Non-Operative Management
Part 7 Critical Care
29 Critical Care
30 Postoperative Complications
Book Details
- Authors: Adam Brooks, Bryan A. Cotton, Nigel Tai, and Peter F. Mahoney
- Paperback: 228 pages
- Publisher: BMJ Books; 1 edition (May 10, 2010)
- Language: English
- ISBN-10: 1405170255
- ISBN-13: 978-1405170253
- Product Dimensions: 10.8 x 8.6 x 0.6 inches