Surgical emergencies (trauma, digestive surgery)

Management of trauma and abdominal emergencies with direct access to the clinic's operating theatres, 24 hours a day.

What is it?

Surgical emergencies involve situations requiring rapid surgical assessment, or even emergency surgery: fractures and dislocations, deep wounds, acute abdominal pain suggesting appendicitis, intestinal obstruction, cholecystitis or a strangulated hernia. The emergency department works in direct collaboration with the clinic's general surgery, orthopedic surgery and anesthesia teams. After the emergency physician's initial assessment, the on-call surgeon examines the patient and decides on the course of action: medical treatment, observation or surgery. Emergency imaging (radiology, CT scan, ultrasound) and laboratory tests performed on site allow the diagnosis to be confirmed rapidly. When an operation is necessary, the patient is prepared and taken to the operating theatre, located in the same building, as quickly as possible. At Clinique Pasteur Tunis, this continuity between the emergency department, imaging and the operating theatres ensures complete and safe surgical care, day and night.

When is it indicated?

Trauma with suspected fracture or dislocation

After an impact or a fall, an X-ray is used to check the bone and the joint, followed by immobilization or surgery if necessary.

Wound requiring exploration or suturing

A deep wound is cleaned and examined to make sure no important structure is affected, before being closed under proper conditions.

Acute abdominal pain (suspected appendicitis, cholecystitis, obstruction)

Some abdominal pain requires prompt surgical assessment: examination and imaging help decide whether surgery is needed.

Painful or irreducible hernia

A hernia that becomes painful and can no longer be pushed back into place may become strangulated: it is an emergency that must be examined without delay.

Abdominal or chest trauma

A blow to the abdomen or the chest can cause invisible internal injuries: monitoring and imaging are essential.

Procedure

Initial assessment by the emergency physician and pain control

Appropriate emergency imaging (X-ray, ultrasound, CT scan)

On-site laboratory samples if necessary

Opinion of the on-call surgeon and treatment decision

Immobilization, suturing or medical treatment depending on the case

If surgery is required: preparation, emergency anesthesia consultation and transfer to the operating theatre

Results

Depending on the severity, the patient is treated in the emergency department and then returns home, or is hospitalized for observation or surgery. Post-operative care is provided in the clinic's inpatient units.

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