trauma surgery april 21 st - april 27 th sihong suy michelle hamel william daner ashley limkemann...

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Trauma Surgery Trauma Surgery April 21 April 21 st st - April 27 - April 27 th th Sihong Suy Sihong Suy Michelle Hamel Michelle Hamel William Daner William Daner Ashley Limkemann Ashley Limkemann Nathan Miller Nathan Miller

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Page 1: Trauma Surgery April 21 st - April 27 th Sihong Suy Michelle Hamel William Daner Ashley Limkemann Nathan Miller

Trauma Surgery Trauma Surgery April 21April 21stst - April 27 - April 27thth

Sihong SuySihong SuyMichelle HamelMichelle HamelWilliam DanerWilliam DanerAshley LimkemannAshley LimkemannNathan MillerNathan Miller

Page 2: Trauma Surgery April 21 st - April 27 th Sihong Suy Michelle Hamel William Daner Ashley Limkemann Nathan Miller

Date Patient Att/Res Dx Procedure

4-21 Anand/Caillouet Perineal abscess Incision and drainage

Anand/Caillouet Abdominal necrotizing fasciitis s/p debridment

Abdominal wound washout

Anand/Caillouet MVC – splenic lac/ avulsion

Ex lap, splenectomy

Whelan/Long Anterior abdominal wall abscess

Incision and drainage

4-22 Malhotra/ Hartwich

Stab wound to neck and abdomen

Ex lap, repair of gastrotomy, repair of cricothyroidotomy

Malhotra/Suy Open abdomen, r/o bowel ischemia

Ex lap, washout, cholecystectomy and closure

Malhotra/Carter Fascial dehiscence s/p appendectomy

Ex lap, washout and fascial closure

Malhotra/ Hartwich

GSW to bilateral thighs, buttock, with anal canal injury

Rigid sigmoidoscopy, ex lap, diverting sigmoid colostomy

OR CasesOR Cases

Page 3: Trauma Surgery April 21 st - April 27 th Sihong Suy Michelle Hamel William Daner Ashley Limkemann Nathan Miller

Date Patient Att/Res Dx Procedure

4-23 Anand/ Limkemann

Open abdomen s/p MVC and splenectomy

Ex lap, washout and closure

Anand/Suy Incisional hernia Herniorrhaphy with parietex mesh

Ferrada/Hamel Incisional hernia Herniorrhaphy with mesh

Malhotra/Quinn Abdominal hemorrhage and compartment

Re-entry for bleeding

4-24 Anand/Suy MVC – diverting colostomy

Colostomy reversal

Duane/Hamel Left hemothorax s/p MCC

VATS and evacuation of hemothorax

Duane/Hamel Symptomatic cholelithiasis

Lap cholecystectomy

Goldberg/Suy Abdomional free air/ peritonitis

Ex lap

Ferrada/Hamel Tracheal laceration s/p suicide attempt

Neck exploration, emergent tracheostomy and washout

Whelan/ Limkemann

Open abdomen/ small bowel ischemia

Ex lap, washout and end ileostomy

OR CasesOR Cases

Page 4: Trauma Surgery April 21 st - April 27 th Sihong Suy Michelle Hamel William Daner Ashley Limkemann Nathan Miller

Date Patient Att/Res Dx Procedure

4-25 Anand/ Limkemann

Right inguinal hernia Herniorrhaphy

Ferrada/Suy Open abdomen s/p ex lap, cholecystectomy

Ex lap, fascial closure

Whelan/Hamel Facial retained foreign body

Removal of…

Malhotra/ Whelan/Goode

Left flail chest s/p MVC Thoracotomy with fixation of rib fractures

4-26 Duane/Goode/ Hamel

GSW abdomen Ex lap, small bowel resection

Duane/Hamel MVC – splenic rupture Ex lap, splenectomy

Duane/Tubbs Open abdomen s/p MVC Ex lap, fascial closure

Ivatury/Tubbs Open abdomen s/p GSW Ex lap, washout and closure

OR CasesOR Cases

Page 5: Trauma Surgery April 21 st - April 27 th Sihong Suy Michelle Hamel William Daner Ashley Limkemann Nathan Miller

Date Patient Att/Res Dx Procedure

4-27 Deal/ Dachsangvorn

Sacral osteomyelitis Debridement of…

Ivatury/Tubbs SBO from internal hernia

Ex lap, lysis of adhesive band, reduction of hernia

Whelan/ Limkemann

Respiratory failure/ malnutrition

Tracheostomy and PEG

Whelan/Tubbs Acute on chronic cholecystitis

Lap converted to open cholecystectomy

Whelan/ Limkemann

Respiratory failure/ malnutrition

Tracheostomy and PEG

OR CasesOR Cases

Page 6: Trauma Surgery April 21 st - April 27 th Sihong Suy Michelle Hamel William Daner Ashley Limkemann Nathan Miller

Date Patient Att/Res Complication Procedure

3-23 Aboutanos/Carter Death – withdrawal of care Ex lap, drainage of ascites

3-30 Malhotra/Soliman Pneumonia STSG to abdomen

4-16 Whelan/Tubbs Fascial dehiscence Lap converted to open appendectomy

4-22 Malhotra/Suy Intra-abdominal hemorrhage

Ex lap, cholecystectomy

Death and ComplicationsDeath and Complications