Pulmonary Resection for Lung Trauma

Stewart, Ken G.; Urschel, John D.; S, Nakai; Gelfand, Elliot T.; Hamilton, Stewart M.

doi:10.1016/s0003-4975(97)00442-6

Cited by 61 publications

(42 citation statements)

References 5 publications

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“…The majority of patients with blunt chest trauma are managed non-operatively by supportive measures and tube thoracostomy; thoracotomy is required in only 7-10% of cases (5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

“…Pulmonary resections are needed in 17% of patients that underwent urgent thoracotomy for blunt chest trauma and range from wedge resection to pneumonectomy (5). In case of extensive injuries involving major hilar vessels or bronchi, an anatomic pulmonary resection is necessary (6,8).…”

Section: Discussionmentioning

confidence: 99%

“…Hypovolemic shock, massive hemothorax with chest tube output greater than 1,500 mL and not controlled airway leak are the standard indications for urgent thoracotomy in blunt chest trauma (3,(6)(7)(8). For reducing mortality, some authors suggest to perform urgent thoracotomy when the output of thoracostomy tube reaches 1,000 mL (8).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Urgent pulmonary lobectomy for blunt chest trauma: report of three cases without mortality

Chiarelli¹,

Gerosa²,

Guttadauro³

et al. 2016

J. Thorac. Dis.

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“…The majority of patients with blunt chest trauma are managed non-operatively by supportive measures and tube thoracostomy; thoracotomy is required in only 7-10% of cases (5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Urgent pulmonary lobectomy for blunt chest trauma: report of three cases without mortality

Chiarelli¹,

Gerosa²,

Guttadauro³

et al. 2016

J. Thorac. Dis.

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“…Clási-camente las indicaciones de toracotomía de emergencia en trauma incluyen el shock, el paro cardía- co, el diagnóstico de lesiones específicas, como el trauma contuso de la aorta, y la hemorragia torá-cica activa; esta última indicación es comúnmente relacionada con un sangrado mayor a 1500 ml en la toracostomía inicial o un sangrado continuo mayor o igual a 250 ml por tres horas seguidas después de la toracostomía inicial [6][7] . Algunos reportes muestran que una toracotomía posterior a un traumatismo torácico es necesaria en un 30% de los traumatismos torácicos penetrantes y en un 15% de los traumatismos torácicos contusos [8][9] ; sin embargo, se debe tener en consideración que la incidencia y las causas de trauma torácico varían ampliamente en las diferentes partes del mundo.…”

Section: Discussionunclassified

Reconstrucción torácica primaria con material protésico en trauma torácico extenso

C¹,

H³

et al. 2007

Rev Chil Cir

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RESUMENEs nuestro objetivo comunicar un caso clínico del Hospital Clínico Herminda Martin, en el cual se realizó una reparación torácica con material protésico en un tiempo como consecuencia de un traumatismo penetrante torácico por arma de fuego con pérdida de pared, con buenos resultados.PALABRAS CLAVE: Trauma de tórax, reconstrucción, tiro SUMMARYWe report a 21 years old woman that was admitted in the emergency room due to a extensive chest trauma caused by a gunshot. The patient was subjected to an emergency thoracotomy. A right lung lower and middle lobectomy, partial hepatectomy, diaphragmatic suture and mastectomy were performed. A primary chest closure was done, using a Marlex prosthesis covered by a cutaneous flap. During the postoperative period, the patient had a surgical wound infection, that was treated conservatively and was discharged 42 days after surgery. INTRODUCCIÓNEl trauma es una de las principales causa de muerte en todos los grupos de edad, constituyendo el trauma torácico, penetrante y contuso el 25-50% de todos los traumas 1 . La mayoría de ellos (90%) puede ser manejado con un tratamiento conservador, con o sin drenaje de toracostomía, sin embargo, un número menor de pacientes (10%) requieren de toracotomía de emergencia como parte del manejo inicial 2 .La toracotomía de emergencia ha demostrado utilidad en la evacuación de un taponamiento cardíaco, el control directo de hemorragias intratorá-cicas, el control de una embolia aérea masiva, el masaje cardíaco abierto, así como el clampeo se-

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“…Santral pulmoner yaralanması veya kaynağı belli olmayan masif pulmoner kanamalarda, hilusa erkenden vasküler klemp konması faydalıdır. Hiler klempleme sayesinde kanama hızla kontrol altı-na alınarak, hava embolisi önlenebilir ve yaralanmanın kapsamı da değerlendirilebilir [12,13]. Bizde pulmoner arter yaralanması olan hastalarımızda hiler klepleme yaparak kanama ve hava embolisini önlemeye çalıştık.…”

Section: Bulgularunclassified

Our Experiences with Chest Trauma Patients in Syrian Civil War

Günay¹,

Eser²,

Kürkçüoğlu³

2015

Ann Clin Anal Med

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The files of the patients were received from archive. Results: Except 11 isolated thorax trauma patients, it was determined thorax and abdomen injuries at 9 patients (21.9%), thorax and extremity injuries at 8 patients (19.5%), thorax and vertebra injuries at 3 patients (7.3%), thorax, abdomen and cranium injuries at 5 patients (12.1%), thorax, abdomen and eye injuries at one patient (2.4%), thorax, abdomen and vertebra injuries at 3 patients (7.3%), thorax, abdomen and extremity injuries at one patient (2.4%). Discussion: Thoracic surgery is a lifesaving branch in case of fast and effectual medical intervention to injuries during war.

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Pulmonary Resection for Lung Trauma

Cited by 61 publications

References 5 publications

Urgent pulmonary lobectomy for blunt chest trauma: report of three cases without mortality

Urgent pulmonary lobectomy for blunt chest trauma: report of three cases without mortality

Reconstrucción torácica primaria con material protésico en trauma torácico extenso

Our Experiences with Chest Trauma Patients in Syrian Civil War

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