What's new in operative trauma surgery in the last 10 years.
OBJECTIVE
This article reviews the latest operative trauma surgery techniques and strategies, which have been published in the last 10 years. Many of the articles we reviewed come directly from combat surgery experience and may be also applied to the severely injured civilian trauma patient and in the context of terrorist attacks on civilian populations.


RESULTS
We reviewed the most important innovations in operative trauma surgery; the use of ultrasound and computed tomography in the preoperative evaluation of the penetrating trauma patient, the use of temporary vascular shunts, the current management of military wounds, the use of preperitoneal packing in pelvic fractures and the management of the multiple traumatic amputation patient.


CONCLUSIONS
The last 10 years of conflict has produced a wealth of experience and novel techniques in operative trauma surgery. The articles we review here are essential for the contemporary care of the severely injured trauma patient, whether they are card for in a level 1 trauma center or in a field hospital at the edge of a battlefield.
aCanadian Field Hospital, Canadian Forces Health Services bUniversity of Toronto cSunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Andrew
A
Beckett
Homer
H
Tien
D000671:Amputation, Surgical / Q000639:trends; D001753:Blast Injuries / Q000401:mortality / Q000601:surgery*; D003029:Coagulants / Q000627:therapeutic use; D003646:Debridement / Q000639:trends; D004621:Embolization, Therapeutic / Q000639:trends; D005260:Female; D005592:Fracture Fixation / Q000639:trends; D006470:Hemorrhage / Q000401:mortality / Q000601:surgery*; D006489:Hemostatic Techniques / Q000639:trends; D006801:Humans; D008297:Male; D008887:Military Medicine / Q000639:trends; D008889:Military Personnel; D054843:Negative-Pressure Wound Therapy; D017410:Practice Guidelines as Topic; D011300:Preoperative Care / Q000639:trends; D014057:Tomography, X-Ray Computed; D014111:Tourniquets; D014194:Traumatology / Q000379:methods / Q000639:trends*; D016896:Treatment Outcome; D014857:Warfare; D014947:Wounds and Injuries / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*
D003029:Coagulants