Document Detail


The pulmonary hilum twist as a thoracic damage control procedure.
MedLine Citation:
PMID:  12842749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Damage control techniques have been developed and applied to abdominal, vascular and thoracic injuries. Thoracic damage control techniques must be rapid and simple. METHODS: This report describes the successful use of pulmonary hilum twist as an effective damage control technique to control hemorrhage for severe lung trauma. RESULTS: The procedure involves division of the inferior pulmonary ligament then anterior rotation of the lower lobe over the upper lobe. The technique can be utilized in multiple settings including the emergency center, operating room, and during resuscitation. When vascular occlusion is maintained throughout resuscitation in the intensive care unit, pneumonectomy most likely will be required, but can be performed when the physiologic parameters have improved. Complications are similar to pneumonectomy and can include right-side heart failure, dysrrythmias, and hypoxia. CONCLUSIONS: Pulmonary hilar twist is an effective technique that should be considered when a damage control approach is needed.
Authors:
Alison Wilson; Matthew J Wall; Robert Maxson; Kenneth Mattox
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  186     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-04     Completed Date:  2003-08-05     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  49-52     Citation Subset:  AIM; IM    
Affiliation:
Ben Taub General Hospital, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Adolescent
Adult
Female
Hemostatic Techniques*
Humans
Lung / blood supply
Lung Injury*
Male
Thoracic Injuries / surgery*
Wounds, Gunshot / surgery*
Wounds, Nonpenetrating / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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