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Trauma Laparotomy

Mary K Arbuthnot, DO, Vincent Duron, MD, John Horton, MD, Steven Stylianos, MD, John M McClellan, MD, Woo S Do, MD, Ken Azarow, MD, Mubeen Jafri, MD, John D Yonge, MD, Jessica Naiditch, MD
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We are all familiar with the adage children are not just little adults and the same holds true with the management of the pediatric trauma patient. Trauma remains the leading cause of death and disability in children and adolescents and the majority is due to blunt trauma [1][2]. Although the principles of resuscitation for the injured child are the same as for adults there are differences in patterns of injury, airway anatomy, cardiorespiratory physiology, response to blood loss and thermoregulation which poses unique challenges when caring for the injured child [3]. In addition, the perioperative planning, operative approach to the trauma laparotomy, necessary equipment and postoperative management may vary based on the age of the patient and pattern of injury so a thorough understanding is essential for the successful management of the rare injured child who requires operative intervention.

see also Trauma Resuscitation and Initial Evaluation and Penetrating Trauma

contentin this topic is referred to in SCORE Abdominal Trauma overview

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Last updated: August 16, 2018


Arbuthnot, Mary K, et al. "Trauma Laparotomy." Pediatric Surgery NaT, American Pediatric Surgical Association, 2018. APSA Webapp, www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829214/all/Trauma_Laparotomy.
Arbuthnot MK, Duron V, Horton J, Stylianos S, McClellan JM, Do WS, Azarow K, Jafri M, Yonge JD, Naiditch J. Trauma Laparotomy. In: Waldhausen J, Powell D, Hirschl R, eds. Pediatric Surgery NaT. American Pediatric Surgical Association; 2018. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829214/all/Trauma_Laparotomy. Accessed August 20, 2019.
Arbuthnot, M. K., Duron, V., Horton, J., Stylianos, S., McClellan, J. M., … Do, W. S. (2018). Trauma Laparotomy. In Waldhausen, J., Powell, D., & Hirschl, R. (Eds.), Pediatric Surgery NaT. Available from https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829214/all/Trauma_Laparotomy
Arbuthnot MK, Duron V, Horton J, Stylianos S, McClellan JM, Do WS, Azarow K, Jafri M, Yonge JD, Naiditch J. Trauma Laparotomy [Internet]. In: Waldhausen J, Powell D, Hirschl R, editors. Pediatric Surgery NaT. American Pediatric Surgical Association; 2018. [cited 2019 August 20]. Available from: https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829214/all/Trauma_Laparotomy.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Trauma Laparotomy ID - 829214 A1 - Arbuthnot,Mary,DO AU - Duron,Vincent,MD AU - Horton,John,MD AU - Stylianos,Steven,MD AU - McClellan,John,MD AU - Do,Woo,MD AU - Azarow,Ken,MD AU - Jafri,Mubeen,MD AU - Yonge,John,MD AU - Naiditch,Jessica,MD ED - Waldhausen,John, ED - Powell,David, ED - Hirschl,Ron, Y1 - 2018/08/16/ BT - Pediatric Surgery NaT UR - https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829214/all/Trauma_Laparotomy PB - American Pediatric Surgical Association DB - APSA Webapp DP - Unbound Medicine ER -