Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2026 - Trauma - Part 2
Jan 7, 2026
In this engaging discussion, the co-host, a primary clinical educator in trauma surgery, dives deep into high-yield topics for ABSITE preparation. They explore critical management strategies for gastric, duodenal, and pancreatic injuries, emphasizing key repair techniques and decision-making principles. The conversation covers everything from assessing splenic injury management to understanding pediatric trauma considerations and the unique challenges of geriatric patients. It's packed with essential pearls that aspiring surgeons won't want to miss!
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Thoroughly Inspect Gastric Injuries
- Inspect the entire stomach when you find a gastric injury, including the posterior wall via opening the lesser sac.
- Use NG tubes, leak tests, or EGD to detect missed proximal or GE junction injuries.
Stepwise Duodenal Exposure And Repair
- Expose the duodenum with a full Cattell–Braasch (coca) maneuver and inspect the ampulla and bile duct carefully.
- Prefer two-layer primary closure when feasible, leave drains, and consider damage-control if unstable.
Use Damage To Guide Bowel Management
- Classify small-bowel injuries as non-destructive (<50% circumference) or destructive (>50% or devascularized).
- Repair non-destructive injuries primarily; resect destructive injuries or leave in discontinuity if doing damage control.
