title: Trap-door incision for penetrating thoracic trauma: an obsolete approach?
abstract: Penetrating injuries to the subclavian vessels are uncommon and very severe lesions. They are difficult to expose and carry a high mortality. "Trap-door" incisions have lately been dismissed as too mutilating for the occasional victim of a penetrating thoracic trauma with massive bleeding difficult that is to expose. We present a case of severe bleeding from a stab wound in the left subclavicular area in a heavy-built patient where a "trap-door" incision proved inevitable to expose and repair the injury, and most probably saved his life.
authors.affiliation: General and Emergency Surgery, Gregorio Marañón University General Hospital (GMUGH), 28007 Madrid, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Fabregues Olea
authors.affiliation: General and Emergency Surgery, Gregorio Marañón University General Hospital (GMUGH), 28007 Madrid, Spain.
authors.forename: Leire
authors.identifier: 0000-0002-5440-3660
authors.initials: L
authors.lastname: Zarain Obrador
authors.affiliation: General and Emergency Surgery, Gregorio Marañón University General Hospital (GMUGH), 28007 Madrid, Spain.
authors.forename: Dolores
authors.initials: D
authors.lastname: Perez-Diaz
authors.affiliation: General and Emergency Surgery, Gregorio Marañón University General Hospital (GMUGH), 28007 Madrid, Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: Turégano Fuentes