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Retroperitoneal Trauma

Demetrios Demetriades, MD, PhD
Arch Surg. 1993;128(9):1080. doi:10.1001/archsurg.1993.01420210144026.
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The management of retroperitoneal trauma is often a challenge, even for an experienced trauma surgeon. The initial clinical assessment can be inaccurate. Investigations such as diagnostic peritoneal lavage, which is very sensitive for intraperitoneal trauma, are notoriously inaccurate in retroperitoneal injuries. Surgical management of some retroperitoneal organ injuries can be technically taxing. Major pancreatic-duodenal or retrohepatic caval injuries have a high mortality and their management requires advanced technical skill and in-depth knowledge of anatomy. This book deals exclusively and extensively with this difficult subject. It consists of 14 chapters that discuss in detail anatomy, kinematics of injury, initial evaluation, and specific injuries. These subjects are all discussed clearly and didactically. Some of the chapters have been written by national or international authorities on the subject and are a pleasure to read. The illustrations are excellent (a small error is the mislabeling of the mesenteric vessels in Figure 1-2) and the


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