ABSTRACT

This chapter presents the case studies of different persons requiring emergency surgery for conditions such as acute mesenteric ischaemia, acute leg ischaemia, acute pancreatitis, and appendicitis. All acute scrotal pain is testicular torsion until proven otherwise. The chapter discusses damage control surgery that complements damage control resuscitation. It is concerned with restoring physiological parameters and not anatomical correction. Its purpose is to control catastrophic haemorrhage and minimise contamination. This is an abbreviated or staged laparotomy where the operation can be rapidly terminated at any time if the patient deteriorates. Diverticulitis in young patients has an aggressive and fulminant course and 40 percent need early surgery for complications. The chapter lists out the injuries that can occur during laparoscopic port insertion. Laparoscopic injury has an incidence of approximately 1 per 1000 procedures. The chapter also discusses the common causes of postoperative fever and systemic inflammatory response syndrome.