Arma branca retida em aorta abdominal superior

Abstract

Abdominal aorta wounds carries a high immediate mortality. Few patients reach hospital care alive. There are no reports on Medline (1969Medline ( -2002 about aortic wounds of foreign body with retention. A case with upper abdominal aortic wound with an inlaid blade is reported. The retained blade fixed the stomach to the surgical field, difficulting the vascular control, leading to an unconventional approach and allowing extensive contamination. The patient developed multiple organ dysfunction and died at fifth postoperative day. Singularities of an inlaid knife in upper abdominal aorta and changes in traditional approach are discussed. The authors assumed that the inlaid knife decreased the bleeding, allowing the patient arrival to the hospital, but worsened the approach to the aorta wound (Rev. Col. Bras. Cir. 2004; 31(5): 340-341) -ISSN 0100-6991.

Temporal and comparative analysis between abdomen dissection methods for aorto-caval exposure

“…The Cattell-Braasch (BARANSKI, 2009) and Mattox (NAVALÓN, HERNÁNDEZ and ORTEGA, 2009) maneuvers have been successfully adopted in abdominal surgery and, in certain situations, is the only way for exposure and safe approach to vital structures. As an example, Cattell-Braasch maneuver allows proper manipulation of the duodenum (HENRIQUES, 2009), while Mattox maneuver exposes the abdominal portion of the descending aorta (SPENCER NETTO, SILVA and ALBUQUERQUE, 2004).…”