🎙️ Podcast: Master General Surgery – Trauma Series (Trauma PIPS)
Episode: "Hepatic Hell: When Knife Wounds Meet the Lethal Triad"
In this episode, we explore the management of a challenging case of penetrating abdominal trauma with liver injury and evisceration, including the surgical decision-making, complications, and postoperative course. Through real clinical discussions, case presentations, and international guidelines, we review:
✅ Initial assessment and priorities (ATLS principles)
✅ Damage control surgery and resuscitation techniques
✅ The Pringle maneuver, perihepatic packing, and temporary abdominal closure
✅ Hepatic ischemia, bile leaks, and reoperations
✅ Final closure and use of mesh
✅ Importance of a multidisciplinary approach
This episode features real quotes from clinical rounds, insights from surgical teams, and references to updated trauma literature. A must-listen for surgeons, residents, intensivists, and medical students interested in advanced abdominal trauma care.
📝 Take-Home Messages:
- Early recognition of the lethal triad is critical.
- Decision-making straight from heli to OR.
- Damage control saves lives in complex hepatic trauma.
- Definitive closure should be guided by clinical evolution.
📢 This podcast is available on major platforms and the Google Classroom of the General Surgery and Trauma Division at the Hospital das Clínicas, University of São Paulo.
