Hemothorax: A Review of the Literature

Zeiler, Jacob; Idell, Steven; Norwood, Scott H.; Cook, A.M.

doi:10.1097/cpm.0000000000000343

Cited by 49 publications

(62 citation statements)

References 206 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hemothorax is one of the most important postoperative complications in thoracic surgery, especially after resections [6]. The decision to re-operate depends on the amount of hemorrhagic drainage, the presence of hematoma in the hemithorax, and the hemodynamic stability and clinical condition of the patient.…”

Section: Discussionmentioning

confidence: 99%

“…Management of patients using antico-agulant therapy was arranged before surgery. Warfarin was discontinued 3 days before and antiplatelets such as acetylsalicylic acid and clopidogrel were discontinued 7 days before the procedure [6]. For patients undergoing coronary procedures (e.g., angioplasty, stenting), their cardiologists were contacted before interrupting antiplatelet therapy and their management was planned according to the nature of the planned surgery (elective or emergent).…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Comparing the outcomes of video-assisted thoracoscopic surgery and rethoracotomy in the management of postoperative hemorrhage

Erdoğu¹,

Onay²,

Ciftci³

et al. 2021

Curr Thorac Surg

View full text Add to dashboard Cite

Background: Although postoperative hemorrhage after thoracic surgery is uncommon, it is the most common indication for revision surgery after these procedures. Most postoperative hemorrhages are due to surgical technique, although some comorbidities can predispose the patient to bleeding. We investigated whether video-assisted thoracoscopic surgery (VATS) and re-thoracotomy had the same outcomes in the management of postoperative hemorrhage in patients who underwent open thoracotomy or VATS. Materials and Methods: We retrospectively analyzed patients with postoperative hemorrhage after thoracotomy (n = 659) or VATS (n = 883) between 2018 and 2020. Revision surgery was performed after thoracotomy in 22 patients (3.3%) and after VATS in 4 patients (0.4%). Of these, 11 patients (42.3%) were re-operated by re-thoracotomy (Re-thoracotomy Group) and 15 patients (57.7%) by revision VATS (VATS Group).Results: Revision due to postoperative hemorrhage was required significantly more frequently after thoracotomy than VATS (3.3% vs. 0.4%, p < 0.001). In patients with hemorrhage after pneumonectomy (n = 14), revision by VATS was preferred to re-thoracotomy (n = 10, 71.4% vs. n = 4, 28.6%). The mean time to discharge after revision surgery was 5.1 ± 2.2 days (range, 2-12 days) overall and was significantly shorter in the revision VATS Group than in the Re-thoracotomy Group (4.4 ± 1.5 days vs. 6.2 ± 2.5 days, p = 0.004).Conclusions: VATS has similar results to re-thoracotomy and is advantageous in terms of earlier recovery and shorter hospital stay. Therefore, VATS should be the preferred method for postoperative hemorrhage management.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Comparing the outcomes of video-assisted thoracoscopic surgery and rethoracotomy in the management of postoperative hemorrhage

Erdoğu¹,

Onay²,

Ciftci³

et al. 2021

Curr Thorac Surg

View full text Add to dashboard Cite

show abstract

“…Penetrating thoracic trauma as a result of gunshot injuries are associated with traumatic hemothorax, hemopneumothorax, or pneumothorax. 5 If the penetrating injury involves the heart, the chances of survival are less than 1%, 5 as seen in our case. There are increased number of suicides from Nepal reported during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 61%

Case Report: Penetrating Thoracic Trauma by A Gunshot Involving the Heart

Atreya¹,

Menezes

Timalsina³

et al. 2021

F1000Res

View full text Add to dashboard Cite

Firearm related mortality is not frequently encountered in a country like Nepal where there us a stringent law prohibiting buying, selling, carrying or storing of firearms. It is required to have a valid license to have a firearm in possession. Wounds produced by firearm have a typical characteristic the knowledge of which helps to identify the type of firearm used, range of fire, position of the victim and whether the manner of death was homicidal, suicidal or accidental. The present case is a first autopsy-based study from Nepal which discusses the wounds produced by firearm with interpretation of such findings for medicolegal purposes. The present case highlights a social problem where the victim, a psychiatric patient, had no access to prescription medication due to coronavirus disease (COVID-19) related lockdown.

show abstract

“…Penetrating thoracic trauma as a result of gunshot injuries are associated with traumatic hemothorax, hemopneumothorax, or pneumothorax. 6 If the penetrating injury involves the heart, the chances of survival are less than 1%, 6 as seen in our case. There are increased number of suicides from Nepal reported during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 61%

Case Report: Penetrating Thoracic Trauma by A Gunshot Involving the Heart

Atreya¹,

Menezes

Timalsina³

et al. 2021

F1000Res

View full text Add to dashboard Cite

Firearm-related mortality is not frequently encountered in a country like Nepal where there are stringent laws prohibiting the buying, selling, carrying or storing of firearms. To possess a firearm a person must have a valid license. Wounds produced by firearms have typical characteristics the knowledge of which helps to identify the type of firearm used, range of fire, the position of the victim, and whether the manner of death was homicidal, suicidal, or accidental. The present case is the first autopsy-based study from Nepal which discusses the wounds produced by firearms with an interpretation of such findings for medicolegal purposes. The present case highlights a social problem where the victim, a psychiatric patient, had no access to prescription medication due to coronavirus disease (COVID-19) related lockdown.

show abstract

Hemothorax: A Review of the Literature

Cited by 49 publications

References 206 publications

Comparing the outcomes of video-assisted thoracoscopic surgery and rethoracotomy in the management of postoperative hemorrhage

Comparing the outcomes of video-assisted thoracoscopic surgery and rethoracotomy in the management of postoperative hemorrhage

Case Report: Penetrating Thoracic Trauma by A Gunshot Involving the Heart

Case Report: Penetrating Thoracic Trauma by A Gunshot Involving the Heart

Contact Info

Product

Resources

About