„Single-port-VATS“-assistierte Osteosynthese von Rippenserienfrakturen

Berninger, Markus T.; Kellermann, Florian; Woltmann, Alexander; Bühren, V.; Lang, Michael J

doi:10.1007/s00113-018-0471-1

Cited by 6 publications

(1 citation statement)

References 14 publications

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“…Video-assisted thoracoscopic techniques have been applied to thoracic exploration and hemostasis in the treatment of chest trauma, which have become necessary technical means for the treatment of chest trauma (11,12).…”

Section: Video-assisted Thoracoscopic Assisted Minimally Invasive Ribmentioning

confidence: 99%

Current status and research progress of minimally invasive surgery for flail chest (Review)

Xia

Zhu

et al. 2019

Exp Ther Med

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Chest trauma accounts for ~13.5% of all traumas, and direct death from chest trauma accounts for 20-25% of all traumatic deaths. Chest trauma is the second cause of death from trauma. Frequent rib fractures, especially in patients with flail chest, often cause severe pain, chest wall softening, abnormal breathing and severe lung contusion and laceration, usually requiring thoracic surgery. In recent years, the open reduction and internal fixation treatment of rib fractures with flail chest has achieved satisfactory results, and some surgical indications have reached consensus. A number of scholars and medical centers have demonstrated the practicality and cost-effectiveness of rib fixation in flail chest, including the small incidence of pulmonary complications, the short ICU mechanical ventilation time, and the reduction of digestive tract inhibition. Open reduction and internal fixation of rib fractures involves multiple ribs. Conventional rib fractures require a large incision to achieve satisfactory exposure. Chest wall muscles, blood vessels and nerves (long thoracic and thoracodorsal nerves) are injured, resulting in a high infection rate of the incision and postoperative dysfunctions, such as limited upper limb, shoulder and back function, and long time numbness on the affected side of the chest. Therefore, the damage of muscles and nerves caused by conventional surgical methods limits the development of such surgical technique. Although the video-assisted thoracoscopic technique has become a necessary technical means for the treatment of thoracic trauma and has been applied to thoracic exploration and hemostasis, there is no report on the application of open reduction and internal fixation for rib fracture. The difficulty lies in the tightly combined bony thorax and the soft tissue of the chest wall. Therefore, experts have explored a variety of minimally invasive surgical methods for the flail chest. The current status and research progress of minimally invasive surgery for thoracic surgery are reviewed.

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Section: Video-assisted Thoracoscopic Assisted Minimally Invasive Ribmentioning

confidence: 99%

Current status and research progress of minimally invasive surgery for flail chest (Review)

Xia

Zhu

et al. 2019

Exp Ther Med

View full text Add to dashboard Cite

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Reply to the letter to the editor “Minimized approaches to the posterolateral chest wall in the fixation of rib fracture” by Yih-Wen Tarng, Yi-Pin Chou, Tung-Ho Wu, Hsing-Lin Lin

Schulz-Drost

Langenbach

2018

Eur J Trauma Emerg Surg

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Verletzungen der posterioren und lateralen Brustwand – Bedeutung einer zusätzlichen Klavikulafraktur

et al. 2018

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This study presents therapeutic options for the reconstruction of the chest wall based on the established literature and clinical examples. An ipsilateral CF combined with fractures of the 2nd-4th ribs can be treated through an innovative clavipectoral approach. For the other fractures, standard approaches to the anterolateral and posterolateral chest wall are performed, which are associated with a good outcome in clinical practice. An operative stabilization should be performed at the latest when FCI or CCI together with a dislocating fracture and a marked deformation of the thoracic wall are present. Remaining misalignments are associated with a simultaneous loss of function of the chest wall and shoulder.

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„Single-port-VATS“-assistierte Osteosynthese von Rippenserienfrakturen

Cited by 6 publications

References 14 publications

Current status and research progress of minimally invasive surgery for flail chest (Review)

Current status and research progress of minimally invasive surgery for flail chest (Review)

Reply to the letter to the editor “Minimized approaches to the posterolateral chest wall in the fixation of rib fracture” by Yih-Wen Tarng, Yi-Pin Chou, Tung-Ho Wu, Hsing-Lin Lin

Verletzungen der posterioren und lateralen Brustwand – Bedeutung einer zusätzlichen Klavikulafraktur

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