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allied
academies
International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
Aims & Objective:
Blunt chest trauma accounts for more
than 15% of injuries in trauma. The purpose of this review
was to understand the complications caused by retained
hemothorax and the benefits of minimally invasive surgery
for patients experiencing blunt chest trauma. Duration of
hospital stay and improvement in clinical and pulmonary
function test were also considered.
Method:
In this study, a total 30 patients who received VATS
as management of retained hemothorax post blunt trauma
from January 2013 to October 2016 were retrospectively
enrolled. Patient’s post trauma day of operation, duration of
hospital stay and clinical and PFT improvement were noted.
Discussion:
In 1998, Carrillo and Richardson found that
hemothorax progresses in three manners: complete
spontaneous reabsorption of blood within several weeks,
to fibrothorax, and empyema formation. Richardson et al.,
retained hemothorax is defined as residual clots at least 500
ml large, or in which at least one-third of the blood in the
pleural space cannot be drained by a chest tube after 72 h.
Studies have suggested that surgery should be performed
within 3–10 days after the initial blunt chest trauma, and
most studies suggest not delaying surgery for more than 10
days because the clotted blood may cause complications.
VATS can provide excellent visualization of the pleural cavity
that is more useful for evacuating the hemothorax than using
additional tube thoracotomies.
Conclusion:
VATS is a well-tolerated, reliable, and effective
procedure that can be easily applied to manage retained
haemothorax after a patient experiences blunt chest trauma
with few complications. As an alternative procedure to a
thoracotomy, there was significant improvement in patients
who were operated within 10 days of trauma, also showed
great improvement in pulmonary function test and clinical
outcome, also hospital stay was also shortened.
e:
sankheparesh@gmail.comCase series of video assisted thoracoscopic surgery for retained hemothorax in chest trauma
Sankhe Paresh, Sarangi P S, Chhabra Maninder, Chibber Puneet
and
Gupteshwar Prasad
Deen Dayal Upadhyay Hospital, New Delhi