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Trap-Door Incision for Penetrating Thoracic Trauma: An Obsolete Approach?

Penetrating injuries to the subclavian vessels are uncommon and very severe lesions. They are difficult to expose and carry a high mortality. “Trap-door” incisions have lately been dismissed as too mutilating for the occasional victim of a penetrating thoracic trauma with massive bleeding difficult...

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Detalles Bibliográficos
Autores principales: Fabregues Olea, Ana, Zarain Obrador, Leire, Perez-Diaz, Dolores, Turégano Fuentes, Fernando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4137611/
https://www.ncbi.nlm.nih.gov/pubmed/25165611
http://dx.doi.org/10.1155/2014/798242
Descripción
Sumario:Penetrating injuries to the subclavian vessels are uncommon and very severe lesions. They are difficult to expose and carry a high mortality. “Trap-door” incisions have lately been dismissed as too mutilating for the occasional victim of a penetrating thoracic trauma with massive bleeding difficult that is to expose. We present a case of severe bleeding from a stab wound in the left subclavicular area in a heavy-built patient where a “trap-door” incision proved inevitable to expose and repair the injury, and most probably saved his life.