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

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

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

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

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

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

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

A reflection on those maddening post-trauma bile leaks, the slow, sticky reminders that the liver heals on its own time, not ours. You Know the … Read more

In the chaos of a shattered liver and a bleeding retrohepatic vena cava, the atrio-caval shunt has always been the stuff of legend, but legends, … Read more

The Unexpected Invitation to Chaos No one ever schedules a splenectomy. It’s never on the calendar, never part of the plan.It happens when a car … Read more