2022 AMI Online Salon

Project Details

  • Entrant Name:  Betsy Weissbrod
  • Client: The American College of Surgeons
  • Copyright: Elizabeth N. Weissbrod, 2021
  • Medium/software used: Adobe Photoshop and Illustrator
  • Final presentation format: Course Book (Printed)
  • Primary Audience: Surgeons

Project Description

The hilar twist is a surgical technique deployed to gain vascular control of distal pulmonary vessels when there is penetrating injury to a lung. A hilar twist is completed when the pulmonary ligament is released allowing the lung to be rotated 180-° on the hilar axis. As the lung is rotated, the hilar vessels fully compress against the bronchus providing rapid hemorrhage control of the pulmonary vessels.This illustration is a figure in the textbook for the Advanced Trauma Operative Management (ATOM) course. The ATOM course is intended for surgeons who do not often encounter penetrating trauma. The illustration depicts a right lung with a completed hilar twist that highlights compression of the hilar vessels. For teaching purposes, the rotated lung and surrounding anatomy are depicted without deformity. Initial drafts included tissue deformities that occur during this procedure distracted viewers from the learning objectives. To provide further visual clarity, the right and left lung surfaces are semi-transparent so internal structures may be viewed. The inset provides an enlarged view of how rotation of the lung creates a natural twisting vascular clamp of the pulmonary vessels against the bronchus. The inset is visually connected to the main figure illustration by the contrasting black stroked box and the aqua blue highlight.