Emergency Repair Using Cervico-median Sternotomy for Cervicothoracic Penetrating Injury.
- Author:
Hyun Joo LEE
1
;
Hyun Koo KIM
;
Young Ho CHOI
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. kimhyunkoo@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Neck injuries;
Thoracic injuries;
Penetrating wounds;
Thoracotomy
- MeSH:
Emergencies;
Female;
Floors and Floorcoverings;
Humans;
Jugular Veins;
Lung;
Neck;
Neck Injuries;
Pleura;
Sternotomy;
Thoracic Injuries;
Thoracotomy;
Thorax;
Violence;
Wounds, Penetrating
- From:Journal of the Korean Society of Traumatology
2008;21(2):136-139
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A great variety of penetrating injuries is happening due to the increasing population and violence today. An optimal surgical approach is the key factor for successful repair of a complicated penetrating injury. A 23-yearold woman fell down the stairs from the second floor and received cervico-thoracic penetration injury due to a metalic bar. The metalic bar ruptured the right jugular vein and penetrated the left upper and lower lung. Under cervico-median sternotomy, neck vessels were repaired and the left thorax was successfully entered to repair the damaged lung through the mediastinal pleura. With this approach, the patient's position did not need to be changed during operation, while reduced the operation time compared to the conventional approach (cervical incision and standard thoracotomy).
