Emergency surgical (ES) admissions in the UK are increasing. Between 1998 and 2006, there was an 18% increase in ES admissions resulting in more than half a million emergency general surgical admissions in the UK during the financial year 2005–2006. Many of these patients with relatively minor conditions were generally well and had short hospital admissions; however, a significant proportion were acutely unwell and required the full spectrum of surgical and critical care interventions and had prolonged hospital admission. In 2005–2006, there were more than 33,000 appendicectomies, more than 15,000 cases of acute pancreatitis and more than 3000 cases of diverticular perforation, taking up more than 300,000 hospital bed days. There were also a group of ES patients who were acutely unwell with sepsis and who progressed to severe sepsis and organ failure. In 2005–2006, 990 patients died of acute pancreatitis, 1671 patients died of either a perforated or bleeding duodenal ulcer and 1934 patients died of complications of diverticular disease.
Emergency Surgery by Adam Brooks, Bryan A. Cotton, Nigel Tai, and Peter F. Mahoney provides both a practical guide and an understanding of the issues that need to be considered in the management of emergency surgery patients. It presents a clear account of the key issues involved in the assessment, investigation, resuscitation and surgical management of patients who present to the on-call emergency team.
Part 1 Approach
- 1 The Initial Approach to the Emergency Surgery Patient
- 2 Preoperative Considerations
- 3 Emergency Anaesthesia
- 4 Analgesia
Part 2 Abdomen
- 5 Acute Appendicitis
- 6 Colonic Diverticulosis
- 7 Biliary Colic and Acute Cholecystitis
- 8 Perforated Peptic Ulcer
- 9 Fulminant Colitis
- 10 Mesenteric Ischaemia
- 11 Acute Upper Gastrointestinal Haemorrhage
- 12 Lower Gastrointestinal Bleeding
- 13 Acute Pancreatitis
- 14 Small Bowel Obstruction
- 15 Surgical Jaundice and Cholangitis
- 16 Large Bowel Obstruction
- 17 Emergency Surgical Management of Herniae
Part 3 Vascular
- 18 Ruptured Abdominal Aortic Aneurysm
- 19 Acute Limb Ischaemia
Part 4 Soft Tissue Infection
- 20 Superficial Sepsis, Cutaneous Abscess and Necrotising Fasciitis
Part 5 Urology
- 21 Emergency Urology
Part 6 Trauma
- 22 Abdominal Trauma: Evaluation and Decision Making
- 23 Thoracic Trauma: Evaluation and Decision Making
- 24 Vascular Trauma
- 25 Damage Control Surgery
- 26 Trauma Laparotomy
- 27 Operative Management of Thoracic Trauma
- 28 Abdominal Trauma: Operative and Non-Operative Management
Part 7 Critical Care
- 29 Critical Care
- 30 Postoperative Complications
Book Details
- Authors: Adam Brooks, Bryan A. Cotton, Nigel Tai, and Peter F. Mahoney
- Paperback: 228 pages
- Publisher: BMJ Books; 1 edition (May 10, 2010)
- Language: English
- ISBN-10: 1405170255
- ISBN-13: 978-1405170253
- Product Dimensions: 10.8 x 8.6 x 0.6 inches