Complications in Acute Care Surgery

1. Post-bariatric Complications—Leaks

   • Todd Kellogg, Joy Hughes, Alaa Sada, Michael Sarr

   Pages 245-256

2. The Problem Stoma

   • Leslie Kobayashi, Raul Coimbra

   Pages 257-266

3. The Immunosuppressed Patient

   • Sergio E. Hernandez, Eric W. Etchill, Brian S. Zuckerbraun

   Pages 267-303

4. Management of Anastomotic Leaks—Early <7 Days and Late >7 Days

   • Jason A. Snyder, Martin A. Croce

   Pages 305-316

5. The Relaparotomy in the Delayed (2–3 Week) Postoperative Period

   • Nicole Stassen, Michael Rotondo

   Pages 317-326

6. The Management of the Entero-Atmospheric Fistula (EAF)

   • Narong Kulvatunyou, Peter Rhee

   Pages 327-339

7. Unresectable Malignancy and Bowel Obstruction in the Acute Care Surgery Patient

   • Zara Cooper, Elizabeth Lilley, Gregory J. Jurkovich

   Pages 341-352

8. Jehovah’s Witness and the Bleeding Surgical Patient

   • L. D. Britt

   Pages 353-362

9. Back Matter

   Pages 363-374

   PDF

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

“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)

• R Adams Cowley Shock Trauma Center Acute Care Surgery, University of Maryland School of Medicine, Baltimore, USA

  Jose J. Diaz

• Acute Care Surgery, John Hopkins Hospital Acute Care Surgery, Baltimore, USA

  David T. Efron

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

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