Gil Hospital Regional Trauma Center, Hybrid Surgery and Multidisciplinary Collaboration to Save Severe Traffic Accidents

A patient who was in danger of losing his life due to a major accident was discharged from the hospital after recovering his health through consultation with medical staff at Gachon University Gil Hospital (Hospital Director Kim Woo-kyung) and hybrid emergency surgery.

Seo (72, female) had a big accident near Gimpo while riding a car with her family on October 8, the holiday season. The driver, her husband, and other family members were taken to a nearby hospital, and Seo, who was the most seriously injured and unconscious, was urgently transferred to Gachon University Gil Hospital, the Incheon Regional Trauma Center.

Seo's condition was very serious when he arrived at the trauma center. Conscious, but very low blood pressure and oxygen saturation 'shock state'. Multiple fractures were identified in the neck, waist, collarbone, wrist, and legs, and life was in danger due to chest aortic damage and massive intraperitoneal bleeding. It was difficult to guarantee whether the patient could be resuscitated.




Medical staff, including Professor Kim Young-min and Professor Lee Gil-jae of trauma surgery, performed mass blood transfusions and initial resuscitation upon arrival of the patient. At the same time, Professor Park Soo-young of the radiology intervention team was urgently deployed to stop the bleeding of the patient.

Medical staff performed a 'hybrid' operation in which the patient's surgery and procedure were performed simultaneously. Professor Park Soo-young blocked the bleeding area with thoracic aortic stent insertion along with embolization for abdominal bleeding.

The trauma surgery team, including Professor Kim Young-min, immediately performed laparotomy to remove the blood filled in the abdominal cavity, identify three small intestine rupture sites, and take action. Since the patient had severe hypotension, he performed damage control surgery that performed only necessary surgery to save his life and transferred him to the intensive care unit for trauma patients.




As additional tests conducted the next day confirmed abdominal aortic damage, Professor Park Soo-young's team once again performed vascular embolization and abdominal aortic stent insertion. Since then, secondary abdominal surgery and orthopedic surgery have been performed in turn.

This case is evaluated as a representative case showing that these hybrid operating room systems and multidisciplinary cooperation systems play a decisive role in improving survival rates in severely injured patients.

Professor Kim Young-min of Trauma Surgery said "The patient was elderly but severely damaged, so recovery was not easy. It would have been difficult to guarantee the same result if they had been transferred to a place where professional personnel and systems were not in place, such as a trauma center. "When I save these people, I feel very rewarded as a trauma surgeon."




Patient Seo was treated in the intensive care unit for more than 15 days, miraculously resuscitated, moved to a general ward on October 24, and discharged from the hospital on the 13th of last month, about a month after being hospitalized. Seo said "When I was wandering around losing my mind, many medical staff struggled day and night to save me, and I was just grateful that they didn't give up and saved me."

Gachon University Gil Hospital was designated as a regional trauma center for the first time in the country in 2014. Experts such as cardiovascular thoracic surgery, neurosurgery, and orthopedic surgery are in charge of treating severely traumatized patients 24 hours a day, 365 days a year. In addition, it has a hybrid operating room system that allows severe trauma patients to perform imaging tests, surgery, and intervention surgery simultaneously in one space, including trauma resuscitation zones, trauma-only operating rooms, and trauma-only intensive care units.

Kim Woo-kyung, head of Gachon University Gil Hospital, said, `Incheon Regional Trauma Center and Incheon Regional Emergency Medical Center are life-first medical institutions to save citizens, and all medical staff are doing their best to reduce preventable mortality based on excellent systems and systems."



Gil Hospital Regional Trauma Center, Hybrid Surgery and Multidisciplinary Collaboration to Save Severe Traffic Accidents





This article was translated by Naver AI translator.