alexa Urgent Thoracotomy for Blunt Chest Trauma
ISSN: 2167-1222

Journal of Trauma & Treatment
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Urgent Thoracotomy for Blunt Chest Trauma

Romaldas Rubikas* and Abdul Rahman Maaliki
Clinic of Cardiac, Thoracic and Vascular Surgery, Lithuanian Health Sciences University, Lithuania, Europe
Corresponding Author : Prof. Romaldas Rubikas, M.D., Ph. D
FETCS, Eivenių 2 Kaunas 5009, Lithuania
Tel: +370-37-327353
Fax: +370-37-326934
E-mail: [email protected]
Received October 31, 2012; Accepted November 20, 2012; Published November 22, 2012
Citation: Rubikas R, Maaliki AR (2012) Urgent Thoracotomy for Blunt Chest Trauma. J Trauma Treat 1:151. doi:10.4172/2167-1222.1000151
Copyright: © 2012 Rubikas R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

The majority of patients with blunt chest trauma are treated conservatively or using minor thoracic surgical procedures, and video-assisted thoracoscopic surgery. However, in a small but significant number of patients an urgent exploration of the chest via, thoracotomy is unavoidable. In those cases thoracotomy means not only a surgical incision, but the most invasive (aggressive) method used in the complex treatment of blunt chest trauma. The objectives of this study were the following: (2) to specify the indications for urgent thoracotomy, regarding the possibilities of video-assisted thoracoscopic surgery; [2] to reveal the main factors influencing outcomes following urgent thoracotomy. A retrospective review of 1,826 patients (age 40.3 ± 12.4, range 18 – 79 years) with blunt chest trauma over the period of 10 years (2002-2011) was performed. A detailed analysis was completed involving 102 (5.6%) patients who
underwent urgent thoracotomy. We recorded patients’ age and gender, the mechanism of injury, clinical condition, NISS, injuries of the chest, intrapleural hemorrhage (hemothorax) and air leakage (aeropathic syndrome), methods of treatment, mortality and morbidity occurring within 30 days following urgent thoracotomy. Student’s t and chisquared tests were used for the comparison of the data. The level of  statistical significance was set at p<0.05. Comparing to the previous period (1987-2000), video-assisted  horacoscopic surgery has reduced twice (to 5.6%) the incidence rate of urgent thoracotomy.  he overall postoperative morbidity and mortality rate was 65.7% and 8.8%, respectively. Video-assisted   horacoscopic approach is the method of choice for clinically stable patients. However, when surgical  intervention is unavoidable for clinically unstable patients, it should be started with urgent thoracotomy.  Multiple fractures of ribs and/or sternum that caused flail chest, injuries of lungs, and intensive  intrapleural hemorrhage, resulting in patient’s clinically unstable condition were the main factors  influencing morbidity and mortality following urgent thoracotomy due to blunt chest trauma.

Keywords

Share This Page

Additional Info

Loading
Loading Please wait..
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords