Single port video-assisted thoracoscopic surgery for removal of a retained bullet in the lung parenchyma; A case report with literature review

Kakamad, Fahmi H.; Ali, Razhan K.; Mohammed, Shvan H.; Mohammed, Hawar A. Sofi; Mustafa, Mohammed Q.; Salih, Abdulwahid M.; Abdalla, Bzhwen Y.

doi:10.1016/j.amsu.2021.102977

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…It is well known that the presence of the large foreign fragments in the lungs is an indication for surgical treatment [ 8 , 9 ]. We used a gunshot wound channel as a path for the retrieval of the metal fragments, which is in contrast to other reports.…”

Section: Discussionmentioning

confidence: 99%

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Retrieval of ferromagnetic fragments from the lung using video-assisted thoracoscopic surgery and magnetic tool: a case report of combat patient injured in the war in Ukraine

Lurin,

Khoroshun,

Negoduiko

et al. 2023

Int J Emerg Med

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Background Gunshot wounds injury to the thorax is common in armed conflicts or war, including the war of Russia against Ukraine. Injury to the chest is associated with a high mortality or physical disability due to damage to the lungs, heart, and major vessels. The aim of this report is to demonstrate a case of successful management of severe gunshot injury to the lungs using video-assisted thoracoscopic surgery and magnetic tool for a combat patient injured in the war in Ukraine. Case presentation A 51-year-old soldier of the Armed Forces of Ukraine received a gunshot injury due to shelling from artillery strikes in the Donbas battlefield area. After evacuation to Level II, a forward surgical team performed primary surgical debridement. Two hours after the injury, the patient was evacuated to the Level IV of medical care (Kharkiv). At Level IV, a CT scan showed penetrating gunshot wounds to the left part of the chest with injury to the upper lobe of the left lung with the presence of the 2 metal fragments of the artillery projectile with the size of 2.5 × 2.0 cm and 1.0 × 1.0 cm. These two fragments were removed by using video-assisted thoracoscopic surgery (VATS) using the inlet gunshot hole in the left lateral chest area, as well as the assistance of a magnetic tool. Conclusions VATS and magnetic technologies should be considered for hemodynamically stable combat patients with a gunshot injury to the lungs in the ongoing war. Each combat patient could be treated by individualized approach such as using the wound canal as a scope port after primary surgical debridement of the wound and antibiotic prophylaxis.

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Section: Discussionmentioning

confidence: 99%

“…Similarly, Kakamad et al and Khalil et al also showed the utility of VATS to remove bullets from the chest [ 9 , 13 ]. However, in contrast to that studies, we decided to use also magnet, considering the ferrous nature of the gunshot fragments and the availability of special magnetic tools.…”

Section: Discussionmentioning

confidence: 99%