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RetroperitonealInjury

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Retroperitoneal Injury

Outline General approach.

Anatomical boundaries.

Retroperitoneal Zones.

Cases.

Surgical Exposure.

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Retroperitoneal Injury

Approach.

echanism o! injury. "lunt abdominal injury.

ostly non#operati$e

management.

%enetrating abdominal injury.

ostly re&uires exploration.

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Retroperitoneal Injury

Anatomical boundaries.

'he Anterior Abdomen.

'he (lan).

'he 'horacoabdominal area.

'he "ox.

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Retroperitoneal Injury

Anatomical boundaries.

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Zone *

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Zone +

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Zone ,

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Retroperitoneal Injury

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Retroperitoneal Injury

Case *- + year old male/ 0igh speed 1C.

Ejected !rom the car.

2nconscious/ Sat 33/ "%-4564/GCS 7/ no external source o!

bleeding.

Intubated/ bilateral chest tubesinserted/ pel$is 8rapped.

Sat 9/ 0R-**4/ "%-4564.

(AS' positi$e.

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Retroperitoneal Injury

Case *- 'rauma laparotomy.

Splenectomy.

Zone * hematoma.

Zone + hematoma.

Zone , hematoma.

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Retroperitoneal Injury

Case +- 9+ year old male/ abdominal stab.

Alert/ Sat-/ "%-*96576/ 0R-3.

0as a + cm 8ound in the anteriorabdominal 8all.

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Retroperitoneal Injury

Case +- 'rauma laparotomy.

Small bo8el injury.

Zone * hematoma. Stable.

2nstable.

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Retroperitoneal Injury

Case +- 'rauma laparotomy.

Small bo8el injury.

Zone + hematoma. Stable.

2nstable.

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Retroperitoneal Injury

Case +- 'rauma laparotomy.

Small bo8el injury.

Zone , hematoma. Stable.

2nstable.

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Retroperitoneal Injury

:e!t medial $isceral rotation.

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Retroperitoneal Injury

attox maneu$er

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Retroperitoneal Injury

Right medial $isceral rotation.

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Retroperitoneal Injury

Cattell#"raasch manoeu$re

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;iscussion