In recent years, the treatment of patients suffering major trauma has changed. Treatment is dictated not only by the severity of the trauma, but also by the patient's physiology and pathophysiology. Damage control surgery and damage control resuscitation are the cornerstone of treatment, while prevention and the possibility of other technological improvements, such as the placement of the REBOA and the possibility of angioembolisation, have reduced the need for surgery. In addition, the treatment of trauma benefits from a multidisciplinary treatment. This approach has changed the role of surgeons and how to train future trauma surgeons.
In this issue we want to examine the surgical approach to trauma patients. Hemodynamic instability is considered to be the condition that requires immediate surgery. A major trauma that requires life-saving surgical procedures, also requires knowledge of the pathophysiology of trauma patients, a solid understanding of surgical anatomy and surgical techniques, and a mastery of technologies and devices that can aid in patient treatment. Although training courses are present all over the world, and training opportunities are available based on the low level of countries in different areas of the world, we have found it necessary to frame some peculiar injuries. These include rupture of the pelvic ring, major traumas of the liver and spleen, traumas of the pancreaticoduodenal area, which are less frequent but extremely delicate due to the peculiar activity of pancreatic enzymatic fluids and their effect on the surrounding tissues.
This edition brings together aggressive abdominal conditions raising new questions on how to improve treatment on the one hand and specific surgeon training on the other. Surgical anatomy and surgical treatment are at the heart of the problem. This goal stems from the need to train new surgeons and spread technical knowledge all over the world. However, the theory should not be considered alone, but in the context of a preparation that includes practice. Surgical skills cannot disregard the patient's pathophysiology and knowledge of the other treatment options available today.
We welcome topics on but not limited to: trauma and trauma surgery training; liver, spleen, pancreatic-duodenal, and pelvic injuries; REBOA treatment; surgical anatomy, techniques, and indication for surgical treatment; adherence to protocols: how many follow them? If not, why not?
In recent years, the treatment of patients suffering major trauma has changed. Treatment is dictated not only by the severity of the trauma, but also by the patient's physiology and pathophysiology. Damage control surgery and damage control resuscitation are the cornerstone of treatment, while prevention and the possibility of other technological improvements, such as the placement of the REBOA and the possibility of angioembolisation, have reduced the need for surgery. In addition, the treatment of trauma benefits from a multidisciplinary treatment. This approach has changed the role of surgeons and how to train future trauma surgeons.
In this issue we want to examine the surgical approach to trauma patients. Hemodynamic instability is considered to be the condition that requires immediate surgery. A major trauma that requires life-saving surgical procedures, also requires knowledge of the pathophysiology of trauma patients, a solid understanding of surgical anatomy and surgical techniques, and a mastery of technologies and devices that can aid in patient treatment. Although training courses are present all over the world, and training opportunities are available based on the low level of countries in different areas of the world, we have found it necessary to frame some peculiar injuries. These include rupture of the pelvic ring, major traumas of the liver and spleen, traumas of the pancreaticoduodenal area, which are less frequent but extremely delicate due to the peculiar activity of pancreatic enzymatic fluids and their effect on the surrounding tissues.
This edition brings together aggressive abdominal conditions raising new questions on how to improve treatment on the one hand and specific surgeon training on the other. Surgical anatomy and surgical treatment are at the heart of the problem. This goal stems from the need to train new surgeons and spread technical knowledge all over the world. However, the theory should not be considered alone, but in the context of a preparation that includes practice. Surgical skills cannot disregard the patient's pathophysiology and knowledge of the other treatment options available today.
We welcome topics on but not limited to: trauma and trauma surgery training; liver, spleen, pancreatic-duodenal, and pelvic injuries; REBOA treatment; surgical anatomy, techniques, and indication for surgical treatment; adherence to protocols: how many follow them? If not, why not?
