When the incision covers both the right and left hemithoraxes it is referred to as a "clamshell" thoracotomy. The clamshell thoracotomy is used when there is a right sided pulmonary or vascular injury, or when greater access or visualization is desired.

2024年4月19日 · Resuscitative thoracotomy is a thoracotomy performed prehospital, in the emergency department or elsewhere that is an integral part of the initial resuscitation of a patient; an alternate term is emergency thoracotomy. survival 4-33%; determinants of survival include mechanism of injury, the location of injury and the presence or absence of ...

2019年4月18日 · The clamshell thoracotomy involves an incision extending across the entire anterior chest (mirroring the one made for the usual left anterolateral thoracotomy). After incising through the subcutaneous tissues, intercostal muscles, and sternum, the chest wall is lifted up (like opening a clamshell) allowing exposure to the intrathoracic organs ...

2019年1月21日 · The aim of this post is to give an account of the steps involved in performing a resuscitative clamshell thoracotomy for chest trauma. I will highlight some of the relevant technical as well as a few non-technical pitfalls.

2012年3月13日 · The clamshell incision is shaped like a curved ‘W”, and is typically performed in the anatomic skin / rib groove below the breasts. The surgeon then dissects through the tissue, and intercostal muscles to enter the pleural space bilaterally.

2024年8月21日 · Resuscitative thoracotomy is most frequently performed in the emergency department and involves gaining rapid access to the heart and major thoracic vessels through a transverse chest incision to control exsanguinating noncompressible torso hemorrhage, or other life-threatening chest injuries.

Clamshell thoracotomy (CST) may be indicated and life‐saving in carefully selected cases of blunt trauma. As such, the current clinical stance of general contraindication of CST in blunt trauma should be reviewed and criteria developed to ...