Aspects chirurgicaux des plaies thoraciques pénétrantes par arme blanche dans un pays à ressources limitées: à propos de 73 cas

Post-traumatic Hemothorax: Management in a Limited-medium Structure

“…The frequency of these posttraumatic hemothoraxes varies from one country to another, but is constantly increasing, especially in Madagascar as in most African countries, due to socio-economic factors, political instability and the resurgence of local violence and crime. Moreover, this increase is also linked to the increase in the frequency of public road accidents (Camara et al, 2014;Razafimanjato et al, 2020). In two studies carried out 6 years apart in the thoracic surgery department of Donka hospital in Guinea, the hospital frequency increased from 3.33% in 2008 (Barry, 2006) to 9.25% in 2014 (Camara et al, 2014).…”

“…The occupational categories most affected, however, vary according to the authors (Camara et al, 2014;Razafimanjato et al, 2020;Djigne, 2006). In our series, the category "without a permanent job" was the most represented with 57.89%.…”

“…It allows the diagnosis of hemothorax or hemopneumothorax to be made, an initial assessment of the associated lesions (costal, parenchymal, mediastinal, etc. ), and the prioritization of other paraclinical examinations (Razafimanjato et al, 2020). For minimal or encysted effusions, pleural ultrasound is more indicated, with better sensitivity and specificity.…”

“…In Madagascar, the frequency of posttraumatic hemothorax increases proportionally with the resurgence of violence and crime in the country. the country (Razafimanjato et al, 2020). The prognosis depends on the nature of the lesions and the precocity of management.…”