[Mesenteric trauma: management in austere environments].
Mesenteric trauma, i.e., injuries located in the bowel or organs supplied by the superior mesenteric artery, can be life-threatening. The incidence of these lesions is low. Most occur as result of blunt and penetrating abdominal trauma due mainly to gunshot wounds or road accidents. Management of these serious injuries can be challenging in the military field hospitals. The major problem in austere environment is the unavailabiity of computerized axial and other tools gene rally used for diagnosis. As an alternative to tomography diagnostic peritoneal lavage can be used with a high sensitivity for the detection of mesenteric trauma. The second difficulty is technical. General surgeons without vasular training or supplies must prepared to suspect and reonstuct lesions of the superior mesenteric available resources.
Peycru
T
T
Service de chirurgie viscérale, vasculaire et thoracique, Hôpital d'Instruction des Armées Laveran, Boulevard Alphonse Laveran, Marseille. Thierry.peycru@laposte.net
Biance
N
N
Avaro
J P
JP
Savoie
P H
PH
Tardat
E
E
Balandraud
P
P
D006801:Humans; D017538:Mesenteric Artery, Superior / Q000293:injuries*; D008643:Mesentery / Q000293:injuries*; D014947:Wounds and Injuries / Q000175:diagnosis / Q000628:therapy