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Wednesday, March 28, 2012

Memorable Trauma Surgery Cases

Memorable Trauma Surgery Cases:
  • Lung herniation after biopsy- yup, it popped out with valsalva!
  • Foot amputation - I sawed off the fibula!
  • Self-inflicted gun-shot wound (GSW) - unsuccessful suicide attempt + VATS (video assisted thoracoscopic surgery)
  • Suicide by cops: got cops to go on high speed car chase, then pointed gun at cops so they would shoot him.
  • Complete retrograde amnesia after motor vehicle crash (MVC)
  • Complete humerus head fracture (humerus head in socket, but rest anterior to shoulder)
  • Getting to be first assist on a colostomy (Bovie to clean off colon, manipulate the sigmoid colon, suture opening of colostomy to skin, mayo's to cut, subq umbilicus, cauterize vessels...) Simple but fun stuff!
  • GSW to abdomen through liver, transverse colon, small bowel (3 resections), sigmoid colon, bladder, landed in leg)
  • Extensive groin/thigh wound about 2'x1.5'x1' triangle.  See muscle, tendons, and all.
  • Never been more physically touched by a patient before: when asked how abd pain felt, she closed her hands into fists and gave my stomach a double nuggie.  
  • Sewing a skin graft down (okay...mini one that was gonna be thrown away any ways)
  • Muscular dystrophy + wound vac - very sad case :(
  • First encounter with 2nd degree burns: removing/debriding the bullae. 
  • Retired football player.
  • Cop getting shot by two 18 year olds & on news
  • Appendiceal mucinous cystadenocarcinoma + right hemicolectomy

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