Surgery (Oxford)

article

Physiology of shock and volume resuscitation

Manish Kalla, Neil Herring

Surgery (Oxford) > 2013 > 31 > 11 > 545-551

Haemorrhagic and severe hypovolaemic shock can be rapidly fatal unless identified and resuscitated quickly. Monitoring of haemodynamic and cellular end points is crucial in guiding treatment and improving outcomes. This review therefore focuses on the pathophysiology of hypovolaemic shock, volume resuscitation, haemostasis and approaches to management. Fluid resuscitation saves lives but considerable...

article

Test yourself: MCQ and extended matching

Michael G. Wyatt

Surgery (Oxford) > 2013 > 31 > 11 > 597-598

article

Recognition and management of intra-abdominal hypertension and the abdominal compartment syndrome

Adrian Ben Cresswell

Surgery (Oxford) > 2013 > 31 > 11 > 582-587

Intra-abdominal pressure can be elevated by a variety of surgical and medical causes. Abnormally high intra-abdominal pressures can lead to multi-system organ dysfunction due to a combination of direct pressure effects and the release of endo-toxins which can be life threatening.The key to the successful management of the condition relies on a low threshold for making the diagnosis, an ability to...

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Editorial Board

Surgery (Oxford) > 2013 > 31 > 11 > i

article

Lower gastrointestinal emergencies and appendicitis

Kersten Morgan Bates, Katharine E. Bevan

Surgery (Oxford) > 2013 > 31 > 11 > 552-561

There is a general trend towards increasing numbers of emergency surgical admissions and a quarter of these are colonic. There are common themes in early management, resuscitation and investigation. The best outcomes are achieved with active conservative management, aggressive resuscitation and repeated assessment to measure response. If surgical intervention is required, preoperative investigation,...

article

Upper gastrointestinal emergencies

Adrian Ben Cresswell, Nariman D. Karanjia

Surgery (Oxford) > 2013 > 31 > 11 > 562-568

Emergency presentation of diseases of the upper gastrointestinal tract represents a significant proportion of the acute general surgical workload with gallstone disease representing only a slightly smaller burden than acute appendicitis. Peptic ulcer disease, gallstones and pancreatitis are the three most common emergency conditions of the supra-colic compartment and their initial management should...

article

The management of bariatric surgery complications

William Hawkins, Shaw Somers

Surgery (Oxford) > 2013 > 31 > 11 > 569-573

Bariatric surgery is now commonplace in the UK and has been demonstrated to be safe and effective. Complications that present as an emergency are unusual but will be seen more frequently as the number of patients who have undergone weight loss surgery rises. However, the assessment and radiological imaging of a morbidly obese patient can be difficult to perform and interpret. It is therefore important...

article

Control of major haemorrhage and damage control surgery

Kurian J. Mylankal, Michael G. Wyatt

Surgery (Oxford) > 2013 > 31 > 11 > 574-581

Major haemorrhage is defined as ‘life-threatening bleeding’. It is associated with significant morbidity and mortality and prompt, expeditious control of haemorrhage is essential to improve patient outcome. Understanding the mechanism of injury in trauma and a systematic approach to clinical examination and assessment of blood loss are essential to identify the patient with a life-threatening bleed...

article

Imaging and radiological interventions for the acute abdomen

Raymond Chung, Andrew Hatrick

Surgery (Oxford) > 2013 > 31 > 11 > 588-596

The acute abdomen represents the surgical conundrum encompassing a wide set of differential diagnoses each with their own individual management paths. The optimal imaging modality and characteristic appearances of common causes of the acute abdomen will be delineated. Interventional radiological techniques and their use in supporting the surgical team will also be covered.

INFONA - science communication portal

Surgery (Oxford)

Physiology of shock and volume resuscitation

Test yourself: MCQ and extended matching

Recognition and management of intra-abdominal hypertension and the abdominal compartment syndrome

Contents

Editorial Board

Lower gastrointestinal emergencies and appendicitis

Upper gastrointestinal emergencies

The management of bariatric surgery complications

Control of major haemorrhage and damage control surgery

Imaging and radiological interventions for the acute abdomen

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Surgery (Oxford)

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