Should videothorascopic surgery be the first choice in isolated traumatic hemothorax ? Prospective randomised controlled study

Çobanoğlu, Ufuk; Sayır, Fuat; Mergan, Duygu

doi:10.5505/tjtes.2011.96777

Cited by 17 publications

(6 citation statements)

References 18 publications

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“…Advantages claimed are proper vision of pleural cavity, control of bleeding under direct vision, removal of any clot present inside thoracic cavity, possibility of correct placement of chest tube and post procedure short hospital stay. [17][18][19] Use of antibiotics and duration of its use in hemothorax is controversial. Many authors do not find sufficient evidence to support its use while others recommend it.…”

Section: Resultsmentioning

confidence: 99%

A clinical study of hemothorax following blunt thoracic trauma

Dk¹,

Rc²

2019

International Journal of Health Research and Medico Legal Practice

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Introduction: Hemothorax following blunt thoracic trauma is a common occurrence. Prompt diagnosis and proper treatment is the key for good outcome. Materials and methods: This is a retrospective study carried out in Assam Medical College and Hospital over a period of two years from January 2017 to Dec 2018 to assess our management of hemothorax following blunt thoracic trauma. Hospital records of these patients were reviewed and analyzed. Results: Total 118 patients were admitted during this period in Assam Medical College & Hospital with diagnosis of hemothorax following blunt thoracic trauma. Male patients outnumbered female patients and road traffic accident was the main mechanism of blunt thoracic trauma. Chest pain was the main presenting symptom. 8(6.78%)patients with massive hemothorax were treated during primary survey. 12(10.17%) patients with small volume hemothorax were treated successfully by observation while observation failed in 3(2.54%) patients. 95(80.51%) patients with large hemothoraces were treated by Tube thoracostomy drainage after radiological confirmation. Eleven (9.32%) patients developed clotted hemothorax and required thoracotomy. Mortality rate of the present series was 2.54%. Conclusion: Hemothorax occurs frequently following blunt thoracic trauma. The Majority of these patients can be managed successfully by tube thoracostomy drainage only.

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Section: Resultsmentioning

confidence: 99%

A clinical study of hemothorax following blunt thoracic trauma

Dk¹,

Rc²

2019

International Journal of Health Research and Medico Legal Practice

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“…Cobanoglu et al compared chest tube setting vs. VATS as the first intervention for treatment of blunt chest trauma, including 60 patients [10]. VATS decreased duration of hospital stay and the number of reoperations.…”

Section: Indications Of Vats In Management Of Chest Traumamentioning

confidence: 99%

The Role of Minimally Invasive Surgery in Management of Chest Trauma

Apaydin¹

2022

Trauma and Emergency Surgery

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The role of minimal invasive surgery in management of chest trauma should not be underestimated. The amount of data for video-assisted thoracoscopic surgery (VATS) management in chest-trauma patient is rare. Nevertheless the on-going acceptance and use of VATS for major thoracic resections has led to advanced techniques for management of major bleedings in the elective-surgery-patient. VATS as a procedure for pleural space management in the non-critical, non-massive-transfusion patients can be of great assistance. Its value in persistent non-major-vessel-bleeding hemothorax in terms of pleural space debridement is unchallenged. In some cases VATS is considered to be related to lower ARDS-rates in comparison to open thoracotomy patients, whereby an obvious bias for the non-massive-injury-patients exist. Jin et al. could prove a significant advantage for stable thoracic trauma patients treated through VATS in a randomised trial vs. open thoracotomy.

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“…21 Surgical management can also be pursued as a preventative measure against late complications like fibrothorax and empyema. 74,75 Surgical intervention includes VATS or thoracotomy. VATS should be considered initially if the patient is hemodynamically stable.…”

Section: Imaging Findingsmentioning

confidence: 99%

Role of Interventional Radiology in the Management of Non-aortic Thoracic Trauma

Higgins

Shi

Bader

et al. 2022

Semin intervent Radiol

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Trauma remains a leading cause of death for all age groups, and nearly two-thirds of these individuals suffer thoracic trauma. Due to the various types of injuries, including vascular and nonvascular, interventional radiology plays a major role in the acute and chronic management of the thoracic trauma patient. Interventional radiologists are critical members in the multidisciplinary team focusing on treatment of the patient with thoracic injury. Through case presentations, this article will review the role of interventional radiology in the management of trauma patients suffering thoracic injuries.

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Should videothorascopic surgery be the first choice in isolated traumatic hemothorax ? Prospective randomised controlled study

Cited by 17 publications

References 18 publications

A clinical study of hemothorax following blunt thoracic trauma

A clinical study of hemothorax following blunt thoracic trauma

The Role of Minimally Invasive Surgery in Management of Chest Trauma

Role of Interventional Radiology in the Management of Non-aortic Thoracic Trauma

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