© 2017

Complications in Acute Care Surgery

The Management of Difficult Clinical Scenarios

  • Jose J. Diaz
  • David T. Efron

Table of contents

  1. Front Matter
    Pages i-xiv
  2. Jason B. Young, Stephen P. Gondek, Steven A. Kahn, Addison K. May
    Pages 1-13
  3. Nicholas Namias, Andrew Gaugler
    Pages 15-23
  4. Lisa M. Kodadek, Pamela A. Lipsett
    Pages 25-42
  5. Glen A. Franklin, Nicole M. Garcia, Jason W. Smith
    Pages 43-51
  6. Katie M. Love, Bryan R. Collier
    Pages 53-64
  7. Hunter B. Moore, Ernest E. Moore
    Pages 79-92
  8. Charles A. Adams Jr., William G. Cioffi, Carrie Valdez, Jose J. Diaz
    Pages 93-111
  9. Gregory R. English, Andrew B. Peitzman
    Pages 113-128
  10. Mayur Narayan, Jose J Diaz
    Pages 129-143
  11. David V. Feliciano
    Pages 145-151
  12. James H. Black III, David T. Efron
    Pages 153-164
  13. Alaina M. Lasinski, Joseph Posluszny, Fred A. Luchette
    Pages 165-171
  14. Beth R. Hochman, Patrick M. Reilly
    Pages 173-182
  15. Brandon R. Bruns, Thomas M. Scalea
    Pages 189-197
  16. Syed Nabeel Zafar, Edward E. Cornwell III
    Pages 199-207
  17. Danielle L. Barnard, Timothy C. Fabian
    Pages 229-243

About this book


This text provides the reader a starting point for the most difficult and uncommon complications in acute care surgery. It is designed to provide options to that ubiquitous intra-operative or bedside question “Well, now what do we do with this?” The topics have been chosen for the extreme difficulty of management and the surprising regularity that they present and the lack of large volume of accumulated evidence, where expert experience remains vital. The volume editors present a list of clinical scenario’s, intra-operative findings, and ethical circumstances that few general surgeons in their career will see in their career. The authors represent the most prolific surgeons in practice today. They present how they wound manage these challenging acute care surgery problems based on their vast clinical experience. Here, these surgeons share their personal experience with the most difficult cases. The text is divided into 4 parts. The first part is “Global Patient Issues” when a singular surgical problem presents itself in a very complicated patient with an extensive list of unstable co-morbid diseases. The second part is “Specific Disease Issues”. This is a surgical text and as such each issue is an unexpected intra-operative finding and expert management. The third part is “Post-Operative Issues” and as any seasoned surgeon knows, is the most critical part of managing a complicated surgical case. The last section is “Challenging Ethical Scenarios.” The text is designed to provide the surgeon in training or the seasoned general surgeon unique clinical or operative options for the care of their patients.


Abdominal Compartment Syndrome Anastomosis Frozen Open Abdomen Unresectable Malignancy Septic Shock Acute Necrotizing Pancreatitis

Editors and affiliations

  • Jose J. Diaz
    • 1
  • David T. Efron
    • 2
  1. 1.R Adams Cowley Shock Trauma Center Acute Care SurgeryUniversity of Maryland School of MedicineBaltimoreUSA
  2. 2.Acute Care SurgeryJohn Hopkins Hospital Acute Care SurgeryBaltimoreUSA

About the editors

Jose J. Diaz, M.D.
Professor of Surgery
Chief, Division of Acute Care Surgery
Program Director, Acute Care Surgery Fellowship 
Program in Trauma
R Adams Cowley Shock Trauma Center
University of Maryland School of Medicine
Baltimore, MD

David T. Efron, MD
Professor of Surgery, Anesthesiology and Critical Care Medicine, and Emergency Medicine
Chief, Division of Acute Care Surgery 
Director of Adult Trauma
Department of Surgery
Johns Hopkins Hospital
The John Hopkins University School of Medicine
Baltimore, MD

Bibliographic information

  • Book Title Complications in Acute Care Surgery
  • Book Subtitle The Management of Difficult Clinical Scenarios
  • Editors Jose J. Diaz
    David T. Efron
  • DOI
  • Copyright Information Springer International Publishing Switzerland 2017
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-42374-6
  • Softcover ISBN 978-3-319-82563-2
  • eBook ISBN 978-3-319-42376-0
  • Edition Number 1
  • Number of Pages XIV, 374
  • Number of Illustrations 42 b/w illustrations, 44 illustrations in colour
  • Topics General Surgery
    Traumatic Surgery
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Surgery & Anesthesiology


“This book addresses common and uncommon situations encountered in the practice of acute care surgery including complications of surgical procedures as well as clinical scenarios that challenge the surgeon's technical and decision-making skills. … The intended audience is surgeons in training or seasoned general surgeons. … This book provides general surgeons with guidance in managing challenging patient scenarios, many of which are rare. It covers unusual scenarios that other general surgery books do not address.” (Lillian Erdahl, Doody's Book Reviews, March, 2017)