Justification for Early Surgery

Abstract

Contrary to the classical orthopedic concepts the diagnosis of emergency cases (“acute abdomen”) and the immediate intervention is of cardinal importance in general surgery. These basic principles have not lost their importance in trauma surgery and are the basis of immediate action. Interventions whether performed or missed during the first hour (“golden hour”), or even during the first 30 minutes determine the survival and later the quality of life of the severely injured person, victims of polytrauma, head injury, chest trauma or abdominal trauma. Generally accepted is also the priority of fracture-dislocations, compound fractures and fractures with soft tissue trauma.