R a p i d deceleration, which occurs in high-velocity automobile accidents, forces passengers against the steering wheel or dashboard and produces a crushing injury to the bony thorax. Rapid deceleration also sometimes tears the thoracic aorta. This tearing usually occurs where the movable aortic arch becomes fixed to the posterior chest wall, namely, at the level of the left subclavian artery;...

Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner) sutures. Although suturing is the preferred method for laceration repair, tissue adhesives are similar in pat...

We report an 86-year-old woman with a large tracheal laceration caused by tracheal intubation at cardiopulmonary arrest who underwent a successful stent procedure. Tracheal laceration developed in the membranous portion longitudinally 6 cm in length to 2 cm above the carina. Following 9 days' tracheal intubation, a Y-shaped silicon stent was inserted over the lacerated trachea. Four months afte...

A 67-year-old patient underwent robotic-assisted laparoscopic radical prostatectomy and experienced right ureteral lesion. The laceration was recognized intraoperatively and immediately repaired over the ureteral double J stent. The wire and the stent were first advanced distally to the bladder. Then the wire was pulled with its soft end, cranially through one of the side holes of the proximal ...

A IRWAY control is one of the most important tenets of anesthetic practice. Asphyxia and tracheal laceration in infants are extremely rare, but life-threatening, complications. Despite many reviews in the literature regarding tracheoesophageal fistula (TEF) and esophageal atresia, 4 no case of tracheal injury following the aberrant passage of a gastrostomy catheter has been reported. The presen...

We report a 5-year-old girl who presented with post traumatic biliary leakage that failed to respond to conservative management for two weeks. Surgical exploration in the third week revealed a partially healed 5 cm long hepatic laceration in the right lobe of the liver. Bile was found leaking through a rent in the major right intra-hepatic duct at the apex of liver laceration. A pedicled onlay ...