When the Spleen Leaves the Table: A Trauma Surgeon’s Guide to Splenectomy
Because sometimes, preservation isn’t an option, and hesitating costs lives. The Reality in the Trauma Bay The spleen doesn’t leak; it gushes. When it tears, the … Read more
Control First: Pringle, Aortic Control, Mobilise, Pack, A Practical Playbook for the Bleeding Liver
There are two certainties in hepatic trauma: the liver bleeds like it means it, and physiology dies much faster than technique saves it. When the … Read more
When the Liver Fights Back: Managing Post-Traumatic Bilomas, Necrosis, and Abscesses
Because the liver doesn’t forget, it just waits for its moment to remind you that trauma doesn’t end when the bleeding stops. The Morning After … Read more
“Layers of Pain: Why the Abdomen Hurts the Way It Does, and Why the Embryo Still Gets a Say”
Pain isn’t just anatomy. It’s history. Every time someone grabs their abdomen and says, “It hurts here,” they’re not only showing you a symptom, but … Read more
When the Duct Fights Back: Managing Extrahepatic Biliary Trauma
Because even after you stop the bleeding, bile finds a way to remind you the job’s not over. The Wound You Don’t See Right Away … Read more
“When the Belly Talks Back: Understanding Abdominal Pain”
It usually starts with a face. You know the one, that grimace patients make when you ask, “Where does it hurt?” It’s a universal expression, … Read more
The Pentagram of Death: Where Physiology Turns on You
Because in trauma, the body doesn’t die from injury alone, it dies from its own biology spinning out of control. The Moment It Turns You … Read more
“A Stroll Through the Abdomen (and Other Adventures Beneath the Skin)”
A funny thing about abdomens… You’d be amazed at how many people, even those wearing pristine white coats, think of the abdomen as just a … Read more
Ghosts in the Parenchyma: Managing AV Fistulas and Pseudoaneurysms After Liver Trauma
Because sometimes, the liver heals, but not without leaving a few traps behind. The Quiet Trouble After the Storm The bleeding stops, the packs are … Read more
Remember Who’s on the Table
A reflection on why the patient is never just “the patient.” The Numbers Never Tell the Story We talk in numbers all the time age, … Read more