The effectiveness of hybrid treatment for sever multiple trauma: a case of multiple trauma for damage control laparotomy and thoracic endovascular repair
| Autor: | Keisuke Harada, Eichi Narimatsu, Tsubasa Toyohara, Hideto Irifune, Ryuichiro Kakizaki, Naofumi Bunya, Narumi Kubota, Shuji Uemura, Takashi Toyohara, Yosuke Kuroda |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Resuscitation medicine.medical_treatment Case Report REBOA 030230 surgery 03 medical and health sciences External fixation Hybrid treatment 0302 clinical medicine Operating theater Blunt medicine Pelvis Interventional radiology Damage control surgery medicine.diagnostic_test TEVAR business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid Damage control laparotomy 030208 emergency & critical care medicine lcsh:RC86-88.9 Surgery medicine.anatomical_structure Emergency Medicine Radiology business |
| Zdroj: | International Journal of Emergency Medicine International Journal of Emergency Medicine, Vol 10, Iss 1, Pp 1-5 (2017) |
| ISSN: | 1865-1380 1865-1372 |
| Popis: | Background Time is a crucial factor for the successful early management of the multi-trauma patient. Hybrid operating theaters, which support the integration of surgical treatment and interventional radiology, provide opportunities to reduce the time-to-surgery for life threatening conditions. Case presentation We describe the early successful treatment of a 54-year-old male who sustained multiple injuries when he was hit by a 1000 kg bale of wheat that fell from a height. He was admitted with hemorrhagic shock due to intra-abdominal bleeding, an unstable fracture of the pelvis, and blunt aortic injury, which was considered to be at high risk of rupture. External fixation was applied to the pelvis in the resuscitation bay, and the patient was transferred to a hybrid operating theater for treatment of both the intra-abdominal hemorrhage and blunt aortic injury. Damage control laparotomy and thoracic endovascular aortic repair were performed uneventfully. Conclusions Hybrid treatment, which combines emergency surgery and intraoperative interventional radiology, provides a prompt and appropriate management approach for the treatment of patients with severe multiple trauma and may improve patient outcomes. |
| Databáze: | OpenAIRE |
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