A Case Report on the Surgical Cooperation Strategy for a Rare Severe Trauma Causing Limb Amputation Combined with Full Abdominal Organ Exposure
Abstract：Objective To summarize the surgical cooperation strategy for a rare case of severe trauma causing limb amputation combined with extensive abdominal wall defect and full exposure of abdominal organs, providing reference for future related trauma surgeries. Methods On March 6, 2024, a migrant worker was admitted to the Center for War Trauma at the First Affiliated Hospital of Naval Medical University due to left upper limb amputation and extensive skin avulsion of the abdominal wall, as well as exposure of multiple abdominal organs caused by a lawnmower crush injury. The patient underwent general anesthesia and received multi-site debridement, laparotomy, abdominal wall repair with flap transfer, and repositioning of abdominal organs. The clinical data were retrospectively analyzed and summarized. Results The surgery lasted 5.5 hours and was successfully completed. After a 3-month follow-up, the patient was no longer in life-threatening condition, infection was effectively controlled, and he could eat normally. He underwent functional rehabilitation at a rehabilitation hospital and gradually returned to normal life. Conclusion Cases of limb amputation combined with extensive abdominal wall defects and full exposure of abdominal organs due to trauma are rare in clinical practice. Nursing managers should focus on rapid and safe transportation, team establishment, multidisciplinary collaboration in surgery, and implement corresponding surgical nursing and management strategies.
Keywords：Trauma ResuscitationAbdominal Wall DefectAbdominal InjuryInfectionSurgical Nursing
Publication Date：2025-02-09
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 183-184,封3 )