Core Topics in General & Emergency Surgery: Companion to Specialist Surgical Practice (67 page)

Table A10

Pancreas injury scale

^*
Advance one grade for multiple injuries up to grade III. 863.51, 863.91 – head; 863.99, 862.92 – body; 863.83, 863.93 – tail. Proximal pancreas is to the patient's right of the superior mesenteric vein.

Reproduced from Moore EE, Cogbill TH, Malangoni MA et al. Organ Injury Scaling: pancreas, duodenum, small bowel, colon and rectum. J Trauma 1990; 30(11):1427–9. With permission from Lippincott, Williams & Wilkins.

Table A11

Oesophagus injury scale

^*
Advance one grade for multiple lesions up to grade III.

Reproduced from Moore EE, Jurkovich GJ, Knudson MM et al. Organ Injury Scaling VI: extrahepatic biliary, oesophagus, stomach, vulva, vagina, uterus (non-pregnant), uterus (pregnant), Fallopian tube, and ovary. J Trauma 1995; 39(6):1069–70. With permission from Lippincott, Williams & Wilkins.

Table A12

Stomach injury scale

^*
Advance one grade for multiple lesions up to grade III.

Reproduced from Moore EE, Jurkovich GJ, Knudson MM et al. Organ Injury Scaling VI: extrahepatic biliary, oesophagus, stomach, vulva, vagina, uterus (non-pregnant), uterus (pregnant), Fallopian tube, and ovary. J Trauma 1995; 39(6):1069–70. With permission from Lippincott, Williams & Wilkins.

Table A13

Duodenum injury scale

^*
Advance one grade for multiple injuries up to grade III.

^†
D1, first position of duodenum; D2, second portion of duodenum; D3, third portion of duodenum; D4, fourth portion of duodenum.

Reproduced from Moore EE, Cogbill TH, Malangoni MA et al. Organ Injury Scaling: pancreas, duodenum, small bowel, colon and rectum. J Trauma 1990; 30(11):1427–9. With permission from Lippincott, Williams & Wilkins.

Table A14

Small-bowel injury scale

^*
Advance one grade for multiple injuries up to grade III.

Reproduced from Moore EE, Cogbill TH, Malangoni MA et al. Organ Injury Scaling: pancreas, duodenum, small bowel, colon and rectum. J Trauma 1990; 30(11):1427–9. With permission from Lippincott, Williams & Wilkins.

Table A15

Colon injury scale

^*
Advance one grade for multiple injuries up to grade III.

^†
With ICD-9: 863.40/863.50, non-specific site in colon; 863.41/863.51, ascending; 863.42/863.52, transverse; 863.43/863.53, descending; 863.44/863.54, sigmoid.

Reproduced from Moore EE, Cogbill TH, Malangoni MA et al. Organ Injury Scaling: pancreas, duodenum, small bowel, colon and rectum. J Trauma 1990; 30(11):1427–9. With permission from Lippincott, Williams & Wilkins.

Table A16

Rectum injury scale

^*
Advance one grade for multiple injuries up to grade III.

Reproduced from Moore EE, Cogbill TH, Malangoni MA et al. Organ Injury Scaling: pancreas, duodenum, small bowel, colon and rectum. J Trauma 1990; 30(11):1427–9. With permission from Lippincott, Williams & Wilkins.

Table A17

Abdominal vascular injury scale

^*
This classification system is applicable to extraparenchymal vascular injuries. If the vessel injury is within 2 cm of the organ parenchyma, refer to specific organ injury scale. Increase one grade for multiple grade III or IV injuries involving > 50% vessel circumference. Downgrade one grade if < 25% vessel circumference laceration for grades IV or V.

^†
NS, not scored.

Reproduced from Moore EE, Cogbill TH, Jurkovich GJ. Organ Injury Scaling III: chest wall, abdominal vascular, ureter, bladder and urethra. J Trauma 1992; 33:337–8. With permission from Lippincott, Williams & Wilkins.

Table A18

Adrenal organ injury scale

^*
Advance one grade for bilateral lesions up to grade V.

Reproduced from Moore EE, Malangoni MA, Cogbill TH et al. Organ Injury Scaling VII: cervical vascular, peripheral vascular, adrenal, penis, testis and scrotum. J Trauma 1996; 41(3):523–4. With permission from Lippincott, Williams & Wilkins.

Table A19

Kidney injury scale

^*
Advance one grade for bilateral injuries up to grade III.

Reproduced from Moore EE, Shackford SR, Pachter HL et al. Organ Injury Scaling: spleen, liver and kidney. J Trauma 1989; 29(12):1664–6. With permission from Lippincott, Williams & Wilkins.