When treating renal injuries, the goals of the urologic surgeon are preservation of maximal renal function with a minimal risk of complications. To meet these, accurate staging is essential. The combined use of clinical and radiologic findings, with intra-operative information where available, will enhance the practitioner's ability to detect, classify, and treat renal injuries appropriately. W...

Tooth trauma continues to be a common problem that every dental surgeon must be prepared to assess and treat when necessary. One of the serious traumatic injuries is avulsion where one or more teeth come out of the alveolar socket. Tooth avulsion is an emergency for children and adolescents requires management approaches for the survival of avulsed teeth. The objective of this article is aimed ...

Tibial pilon fractures result from high-energy trauma unlike usual ankle fractures. Their management provides numerous challenges to the orthopaedic surgeon including obtaining anatomic reduction of articular surface and the management of associated soft tissue injuries. This article aims to review major advances and principles that guide our practice today. We also discuss a treatment algorith...

Cisternostomy is defined as opening the basal cisterns to atmospheric pressure. This technique helps to reduce the intracranial pressure in severe head trauma as well as other conditions when the so-called sudden "brain swelling" troubles the surgeon. We elaborated the surgical anatomy of this procedure as well as the proposed physiology of how cisternostomy works. This novel technique may chan...

Airway management in patients with maxillofacial trauma is complicated by injuries to routes of intubation, and the surgeon is frequently asked to secure the airway. Airway obstruction from hemorrhage, tissue prolapse, or edema may require emergent intervention for which multiple intubation techniques exist. Competing needs for both airway and surgical access create intraoperative conflicts dur...

Care of a trauma patient with multiple injuries can pose complex problems of prioritization. For orthopedic injuries, we prefer to perform defi nitive fi xation of all fractures in one trip to the operating room. This approach not only makes the most effi cient use of the operating room and the orthopedic surgeon, but it permits the other injuries to be treated promptly, and allows the patient ...

The present study describes the morphometry of a unilateral ossified sacrotuberous ligament. It aims to discuss its Anatomical and clinical implications.The pudendal nerve, internal pudendal artery, nerve to obturator internus and coccygeal branch of inferior gluteal artery, are the important structures related to sacrotuberous ligament. An ossified sacrotuberous ligament may be an important et...

PURPOSE The purpose of this study was to evaluate whether subspecialty training of the initial treating surgeon affects visual acuity and surgical outcomes in patients with open globe injuries. DESIGN This study is a single-institution, retrospective case series. METHODS The charts of adult patients with open globe injuries requiring surgical repair at the Wilmer Eye Institute between July ...

Overlapping surgeries, (OS) have been in use the U.S. where a single surgeon coordinates operative resources with surgical teams for optimal patient care. Preparation procedure is completed one room as and care another another. One of primary drivers this practice trauma. In emergent situations, critical patients may require expedited life saving measures, requiring immediate attention treatmen...

BACKGROUND Medical lessons learned from Vietnam and previous military conflicts led to the development of civilian trauma systems in the United States. Operation Iraqi Freedom represents the first protracted, large-scale, armed conflict since the advent of civilian trauma systems in which to evaluate a similar paradigm on the battlefield. METHODS Collaborative efforts between the joint milita...