Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: A heuristic approach and heretic view on the technical issues and pitfalls in the management of penetrating abdominal injuries | Yilmaz et al. Scandinavian Journal ofTrauma Resuscitation and Emergency Medicine 2010 18 40 http content 18 1 40 SCANDINAVIAN JOURNAL OF Et emergency medicine COMMENTARY Open Access ABieuristic approach and heretic view on the technical issues and pitfalls in the management of penetrating abdominal injuries Tugba H Yilmaz1 Brown C Ndofor 2 Martin D Smith2 and Elias Degiannis2 Abstract There is a general decline in penetrating abdominal trauma throughout the western world. As a result of that there is a significant loss of expertise in dealing with this type of injury particularly when the patient presents to theatre with physiological instability. A significant percentage of these patients will not be operated by a trauma surgeon but by the occasional trauma surgeon who is usually trained as a general surgeon. Most general surgeons have a general knowledge of operating penetrating trauma knowledge originating from their training years and possibly enhanced by reading operative surgery textbooks. Unfortunately the details included in most of these books are not extensive enough to provide them with enough armamentaria to tackle the difficult case. In this scenario their operative dexterity and knowledge cannot be compared to that of their trauma surgeon colleagues something that is taken for granted in the trauma textbooks. Techniques that are considered basic and easy by the trauma surgeons can be unfamiliar and difficult to general surgeons. Knowing the danger points and pitfalls that will be encountered in penetrating trauma to the abdomen will help the occasional trauma surgeons to avoid intraoperative errors and improve patient care. This manuscript provides a heuristic approach from surgeons working in a high volume penetrating trauma centers in South African. Some of the statements could be considered heretic by the accepted trauma literature. We believe that this heuristic rule of thumb approach that originating from try and error experience .
