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Published in: Updates in Surgery 1/2018

01-03-2018 | Technical Note

Modified Finney enteroplasty: a bowel sparing damage control stapled technique for penetrating jejunal and ileal injuries

Author: Eduardo Smith-Singares

Published in: Updates in Surgery | Issue 1/2018

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Abstract

The rise in gun violence and other penetrating trauma constitutes one of the main challenges in the modern practice of Acute Care Surgery. Expertise in the emergency management of this type of injuries is needed if one is to avoid preventable complications, such as short bowel syndrome. Revisiting and sometimes repurposing old surgical techniques may facilitate this task. The use of a modified Finney enteroplasty as a bowel sparing damage control technique for penetrating jejunal and ileal injuries was studied on 87 gunshot wound victims. The results show this to be a safe and efficient bowel sparing approach to the management of these injuries.
Literature
1.
go back to reference Waibel BH, Rotondo MM (2012) Damage control surgery: it’s evolution over the last 20 years. Rev Col Bras Cir 39(4):314–321CrossRefPubMed Waibel BH, Rotondo MM (2012) Damage control surgery: it’s evolution over the last 20 years. Rev Col Bras Cir 39(4):314–321CrossRefPubMed
2.
go back to reference Glance LG, Osler TM, Mukamel DB, Dick AW (2012) Outcomes of adult trauma patients admitted to trauma centers in Pennsylvania, 2000–2009. Arch Surg 147:732–737CrossRefPubMed Glance LG, Osler TM, Mukamel DB, Dick AW (2012) Outcomes of adult trauma patients admitted to trauma centers in Pennsylvania, 2000–2009. Arch Surg 147:732–737CrossRefPubMed
3.
go back to reference Christensen N (1982) Small bowel and mesentery. In: Blaisdell FW, Trunkey DD (eds) Trauma management. I. Abdominal trauma. Thieme-Stratton, New York, pp 149–163 Christensen N (1982) Small bowel and mesentery. In: Blaisdell FW, Trunkey DD (eds) Trauma management. I. Abdominal trauma. Thieme-Stratton, New York, pp 149–163
4.
go back to reference Adesanya AA, da Rocha-Afodu JT, Ekanem EE, Afolabi IR (2000) Factors affecting mortality and morbidity in patients with abdominal gunshot wounds. Injury 31(6):397–404CrossRefPubMed Adesanya AA, da Rocha-Afodu JT, Ekanem EE, Afolabi IR (2000) Factors affecting mortality and morbidity in patients with abdominal gunshot wounds. Injury 31(6):397–404CrossRefPubMed
6.
go back to reference Behrman SW, Bertken KA, Stefanacci HA, Parks SN (1998) Breakdown of intestinal repair after laparotomy for trauma: incidence, risk factors, and strategies for prevention. J Trauma 45(2):227–231 (discussion 231–3) CrossRefPubMed Behrman SW, Bertken KA, Stefanacci HA, Parks SN (1998) Breakdown of intestinal repair after laparotomy for trauma: incidence, risk factors, and strategies for prevention. J Trauma 45(2):227–231 (discussion 231–3) CrossRefPubMed
7.
go back to reference Burlew CC, Moore EE, Cuschieri J, Jurkovich GJ, Codner P, Crowell K, Nirula R, Haan J, Rowell SE, Kato CM, MacNew H, Ochsner MG, Harrison PB, Fusco C, Sauaia A, Kaups KL (2011) WTA Study Group: Sew it up! A Western Trauma Association multiinstitutional study of enteric injury management in the postinjury open abdomen. J Trauma 70(2):273–277. https://doi.org/10.1097/TA.0b013e3182050eb7 CrossRefPubMed Burlew CC, Moore EE, Cuschieri J, Jurkovich GJ, Codner P, Crowell K, Nirula R, Haan J, Rowell SE, Kato CM, MacNew H, Ochsner MG, Harrison PB, Fusco C, Sauaia A, Kaups KL (2011) WTA Study Group: Sew it up! A Western Trauma Association multiinstitutional study of enteric injury management in the postinjury open abdomen. J Trauma 70(2):273–277. https://​doi.​org/​10.​1097/​TA.​0b013e3182050eb7​ CrossRefPubMed
8.
go back to reference Thompson JS (2000) Comparison of massive vs. repeated resection leading to short bowel syndrome. J Gastrointest Surg 4(1):101–104CrossRefPubMed Thompson JS (2000) Comparison of massive vs. repeated resection leading to short bowel syndrome. J Gastrointest Surg 4(1):101–104CrossRefPubMed
9.
go back to reference Dabney A, Thompson J, DiBaise J, Sudan D, McBride C (2004) Short bowel syndrome after trauma. Am J Surg 188(6):792–795CrossRefPubMed Dabney A, Thompson J, DiBaise J, Sudan D, McBride C (2004) Short bowel syndrome after trauma. Am J Surg 188(6):792–795CrossRefPubMed
11.
go back to reference Benedetti E, Testa G, Sankary H et al (2004) Successful treatment of trauma-induced short bowel syndrome with early living related bowel transplantation. J Trauma 57(1):164–170CrossRefPubMed Benedetti E, Testa G, Sankary H et al (2004) Successful treatment of trauma-induced short bowel syndrome with early living related bowel transplantation. J Trauma 57(1):164–170CrossRefPubMed
Metadata
Title
Modified Finney enteroplasty: a bowel sparing damage control stapled technique for penetrating jejunal and ileal injuries
Author
Eduardo Smith-Singares
Publication date
01-03-2018
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 1/2018
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-018-0518-4

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