Morbidity and Mortality After Traumatic Pneumonectomy: The Effect of Compromised Oxygenation and Cardiac Function

Goins, Wendell A.

doi:10.1177/088506669501000406

Cited by 2 publications

(2 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even ALs or pneumonectomies have been described with the use of staplers. 15,16 The rapidity in completion of the procedure is the main advantage for patients who are bleeding severely. However, there are concerns on the appropriateness of en masse sta- pling together of the pulmonary hilum, including vessels and bronchi.…”

Section: Methodsmentioning

confidence: 99%

Lung-Sparing Surgery After Penetrating Trauma Using Tractotomy, Partial Lobectomy, and Pneumonorrhaphy

Velmahos¹

1999

Arch Surg

View full text Add to dashboard Cite

To evaluate the role of lung-sparing surgical techniques in the surgical management of penetrating pulmonary injuries.Design: Retrospective case series.Setting: Academic level I trauma center.Patients and Methods: Forty patients underwent thoracic surgery for penetrating lung injuries during a 63month period from January 1993 to March 1997. Five (12.5%) underwent anatomical lobectomy, 3 (7.5%) pneumonorrhaphy, 9 (22.5%) stapled wedge resection, and 23 (57.5%) stapled tractotomy. In total, 34 patients (85%) were treated with stapling techniques (1 anatomical lobectomy, 1 pneumonorrhaphy, 9 stapled wedge resections, and 23 stapled tractotomies) and 35 (87.5%) underwent had lung-sparing surgery for trauma.Results: Morbidity and mortality rates were 40% and 5%, respectively. Patients who underwent anatomical lobectomy required longer mechanical ventilatory support, intensive care unit stay, and hospital stay and had a higher morbidity rate compared with patients who underwent lung-sparing surgery for trauma but had central and extensive pulmonary injuries. Stapled tractotomy was efficient in controlling bleeding and bronchial leaks, but, in 3 patients, parts of the divided lung parenchyma were devascularized and had to be resected.Conclusions: Lung-sparing surgery for trauma with the use of staplers can be used in the majority of patients with penetrating pulmonary injuries requiring operation. Stapled tractotomy is a rapid and effective method for controlling hemorrhage and air leaks.

show abstract

Section: Methodsmentioning

confidence: 99%

Lung-Sparing Surgery After Penetrating Trauma Using Tractotomy, Partial Lobectomy, and Pneumonorrhaphy

Velmahos¹

1999

Arch Surg

View full text Add to dashboard Cite

show abstract

“…It was not surprising that all of our patients, as in most other studies, died in this scenario. In 1995, Goins et al, 19 describing his devastating experience, postulated that successful outcomes of these injuries appears unlikely unless other therapies are developed.…”

Section: Discussionmentioning

confidence: 99%

Total Pulmonectomy in Trauma: A Still Unresolved Problem–Our Experience and Review of the Literature

Alfici

Ashkenazi

Kounavsky

et al. 2007

The American Surgeon

View full text Add to dashboard Cite

Emergency pneumonectomy for trauma is associated with very high mortality. Despite significant improvement of the intensive care resources, results of this procedure have not been improved during the last 20 years. When performed because of hemorrhagic shock, pneumonectomy is almost always fatal. We present a series of four patients who underwent total pneumonectomy in our trauma center. The main purpose of this study was to describe pathophysiologic changes and to discuss possible therapeutic alternatives based on the literature review after this operation.

show abstract

Morbidity and Mortality After Traumatic Pneumonectomy: The Effect of Compromised Oxygenation and Cardiac Function

Abstract: after traumatic pneumonectomy: the effect of compromised oxygenation and cardiac function.

Cited by 2 publications

References 25 publications

Lung-Sparing Surgery After Penetrating Trauma Using Tractotomy, Partial Lobectomy, and Pneumonorrhaphy

Lung-Sparing Surgery After Penetrating Trauma Using Tractotomy, Partial Lobectomy, and Pneumonorrhaphy

Total Pulmonectomy in Trauma: A Still Unresolved Problem–Our Experience and Review of the Literature

Contact Info

Product

Resources

About