Uniportal video-assisted thoracoscopic surgery for retained shrapnel in the thoracic cavity: An update surgical approach for removal of foreign body

Essa, Rawand Abdulrahman; Ahmed, Sirwan Khalid

doi:10.1016/j.amsu.2022.103402

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…In line with Essa et al, we also decided to use VATS in war-related shrapnel injury to the lungs, considering hemodynamically stable patients and faster recovery after the surgery [ 20 ]. As also suggested in other reports, we also decided to use a surgical instrument (Mikulicz forceps) to remove the large metal fragment, indicating such an approach to be a useful part of the VATS application [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

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%

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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“…The most common method for removing pulmonary hydatid cysts is thoracotomy, it has been replaced by VATS recently due to benefits such as a shorter time to the hospital stay, less postoperative pain, reduce complications, and better cosmetic outcomes [ 34 , 35 ]. The two major reasons why surgeons did not prefer attempting VATS in pulmonary hydatid cysts were difficulty in managing the residual cavity and the fear of thoracic cavity contamination with cystic fluid.…”

Section: Discussionmentioning

confidence: 99%

Uniportal Video-assisted Thoracoscopic Surgery (u-VATS) for Management of pulmonary hydatid cyst: A systematic review

Ahmed¹,

Essa²,

Bapir³

2022

Annals of Medicine &Amp; Surgery

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Uniportal video-assisted thoracoscopic surgery for retained shrapnel in the thoracic cavity: An update surgical approach for removal of foreign body

Cited by 2 publications

References 13 publications

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

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

Uniportal Video-assisted Thoracoscopic Surgery (u-VATS) for Management of pulmonary hydatid cyst: A systematic review

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