Thoracoscopic evacuation of retained posttraumatic hemothorax

The Annals of Thoracic Surgery
Pradeep H NavsariaAndrew J Nicol

Abstract

Residual posttraumatic hemothoraces occur in 1% to 20% of patients managed with tube thoracostomy. Video-assisted thoracoscopic surgery (VATS) has emerged as an alternative to thoracotomy to evacuate these retained collections. This report reviews a recent trauma unit experience with thoracoscopic evacuation of hemothoraces. The records of all trauma patients undergoing surgical intervention for retained hemothoraces over the 30-month period January 2001 to June 2003 were reviewed. The study included 46 patients. All sustained penetrating injuries, 40 with stab and 6 with gunshot wounds. Twenty-two, 17, and 7 patients each had one, two and three attempts at drainage with tube thoracostomy, respectively. In 37 patients (80%), retained infected/uninfected pleural fluid was successfully evacuated thoracoscopically. VATS failed in 9 (20%) patients and the procedure was converted to open thoracotomy. Dense adhesions were present in all 9 of these patients. The mean time interval between injury and thoracoscopy and thoracotomy, was 13.3 days (range 3-46 days) and 14.5 days (range 11-24 days), respectively. The mean volume of pleural fluid evacuated thoracoscopically was 650 mL. The failure of VATS evacuation correlated with the empye...Continue Reading

References

Dec 1, 1984·American Journal of Surgery·J S CoselliA C Beall
Oct 1, 1994·Journal of Laparoendoscopic Surgery·J L SosaL Martin
Nov 1, 1994·Injury·K McManus, J McGuigan
Jan 1, 1993·The Journal of Trauma·M ManciniK J Buechter
Jan 1, 1996·Chest·R J LandreneauK S Naunheim
Feb 1, 1997·The Annals of Thoracic Surgery·L Lang-LazdunskiR Jancovici
Apr 1, 1997·The Annals of Thoracic Surgery·B T HenifordJ D Richardson
Apr 1, 1997·The Journal of Trauma·D W LiuC H Chang
Jun 24, 1998·Archives of Surgery·L A SchererM M Aguilar
Nov 4, 2000·The Surgical Clinics of North America·G A Lowdermilk, K S Naunheim

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Citations

Apr 5, 2013·Langenbeck's Archives of Surgery·Adrian T BilleterJ David Richardson
May 8, 2007·Surgical Endoscopy·Carlos H Morales UribeRubén D Petro Sánchez
Feb 25, 2009·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Patrizio Petrone, Juan A Asensio
Jul 25, 2009·World Journal of Surgery·C Anne MorrisonMatthew M Carrick
Mar 3, 2010·World Journal of Surgery·Sanju SobnachPradeep Navsaria
Apr 23, 2013·World Journal of Surgery·George V OosthuizenDavid J J Muckart
Jun 1, 2010·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Jana B MacLeodDavid V Feliciano
Dec 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M I VillegasE Londoño
Nov 8, 2008·Chest·Hakim Azfar AliGhulam Khaleeq
Dec 5, 2012·Thoracic Surgery Clinics·Stephen R Broderick
Dec 31, 2010·Archivos de bronconeumología·Jorge Freixinet GilartUNKNOWN SEPAR
Dec 30, 2015·World Journal of Surgery·Dayu HuangXiaofeng Chen
Oct 12, 2015·American Journal of Surgery·Sarah MajercikThomas W White
Jul 27, 2007·Thoracic Surgery Clinics·Dan M Meyer
Nov 28, 2006·The Surgical Clinics of North America·J Wayne Meredith, J Jason Hoth
Jan 30, 2007·The Annals of Thoracic Surgery·Alon Ben-NunLael Anson Best
Sep 8, 2010·Respiratory Medicine·Wim G BoersmaHans J M Smit
Oct 31, 2015·Revista do Colégio Brasileiro de Cirurgiões·Mario Pastore NetoMarcelo Dias Sanches
Aug 27, 2015·Clinical Medicine Insights. Case Reports·Matthew L DiVietroSteven A Sahn
May 4, 2007·Magyar sebészet·Zsolt SzentkeresztyKároly Fekete
Apr 23, 2019·The Annals of Pharmacotherapy·Maya R HolsenMolly Thompson
Dec 19, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Behrad ZiapourIkenna Okereke
Feb 11, 2011·The Journal of Trauma·Nathan T MoweryErik Streib
Apr 28, 2016·The Journal of Trauma and Acute Care Surgery·Stephanie A SavageBen L Zarzaur
Apr 20, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Oscar J F Van WaesJefrey Vermeulen
Apr 19, 2018·Revista do Colégio Brasileiro de Cirurgiões·Cecília Araújo Mendes, Elcio Shiyoiti Hirano
Dec 22, 2020·The American Surgeon·Jessica L WeaverMark J Seamon

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