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Traumatic intercostal arterial bleeding controlled with a novel surgical technique: a case report
1Department of Surgery, North Karelian Central Hospital, Tikkamaentie 16, Joensuu, 80210, Finland. simomie@gmail.com.
Journal of Medical Case Reports
|September 27, 2012
Summary
A novel damage control technique effectively stopped arterial bleeding from intercostal artery injuries after blunt thoracic trauma. This surgical swab method offers a new approach for managing severe chest trauma complications.
Area of Science:
- Trauma Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Blunt thoracic trauma can lead to arterial bleeding requiring intervention.
- Traditional treatments include operative repair, embolization, or aortic stenting.
- A novel damage control technique is presented for managing this critical bleeding.
Purpose of the Study:
- To present a novel damage control technique for arterial bleeding secondary to blunt thoracic trauma.
- To describe the application of this technique in a clinical case.
Main Methods:
- Case presentation of an 82-year-old male with blunt thoracic trauma.
- Diagnosis of left-sided rib fractures (I-VII) and intercostal artery bleeding.
- Emergency thoracotomy followed by a novel hemostatic technique.
Main Results:
- Effective hemostasis was achieved using a rolled surgical swab.
- The swab was placed against the chest wall near the aorta.
- Sutures secured the swab through intercostal muscles to the patient's back.
Conclusions:
- The described technique successfully controlled arterial bleeding from intercostal arteries.
- This method represents a viable damage control strategy for severe thoracic trauma.
- The patient's outcome was complicated by a pre-existing head injury.
