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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
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Simultaneous surgeries in a split forward surgical team: a case study.

Christopher A Vanfosson1, Jason M Seery

  • 1541st Medical Detachment, Forward Surgical (Airborne), 44th Medical Brigade, Building A-6634 Gorham Street, Fort Bragg, NC 28310, USA.

Military Medicine
|February 18, 2012
PubMed
Summary
This summary is machine-generated.

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Simultaneous surgeries on two critically ill pediatric patients were successfully performed by a split forward surgical team in a remote location. While feasible with planning, this approach carries inherent patient risks and should not be the standard of care.

Area of Science:

  • Emergency Medicine
  • Surgical Critical Care
  • Pediatric Surgery

Background:

  • A 10-person split forward surgical team operated in Pol-e-Khumri.
  • The team managed two pediatric patients requiring simultaneous emergent surgeries.
  • This scenario highlights the challenges of remote surgical operations.

Observation:

  • A 3-year-old female with severe bilateral lower extremity injuries and a forearm wound.
  • A 13-year-old with extensive wounds including abdominal evisceration.
  • Both patients presented in extremis after delayed resuscitation at a civilian hospital.

Findings:

  • The 3-year-old underwent bilateral lower extremity amputations and a fasciotomy.
  • The 13-year-old survived an exploratory laparotomy with intra-abdominal wound debridement.

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  • Successful simultaneous surgical interventions were achieved by the forward surgical team.

    • Implications:

    • Simultaneous surgeries in austere environments are possible but require meticulous planning.
    • This case demonstrates the capability of forward surgical teams in managing complex pediatric trauma.
    • Despite successful outcomes, the inherent risks necessitate careful consideration and should not establish a new standard of care.