Hemothorax ≈ Hemothorax
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Thoracic Endometriosis Syndrome: A Review of Diagnosis and Management Open
TES can produce incapacitating symptoms for some patients. Symptoms of TES are nonspecific, so a high degree of clinical suspicion is warranted. Medical management represents the first-line treatment approach. When this fails or is contrai…
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Complications of thoracentesis Open
Major complications of thoracentesis are uncommon. Clinician awareness of risk factors for procedural complications and familiarity with strategies that improve outcomes are essential components for safely performing thoracentesis.
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Chest Tube Drainage of the Pleural Space: A Concise Review for Pulmonologists Open
Chest tube insertion is a common procedure usually done for the purpose of draining accumulated air or fluid in the pleural cavity. Small-bore chest tubes (≤14F) are generally recommended as the first-line therapy for spontaneous pneumotho…
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Hemothorax: A Review of the Literature Open
Hemothorax is a collection of blood in the pleural cavity usually from traumatic injury. Chest X-ray has historically been the imaging modality of choice upon arrival to the hospital. The sensitivity and specificity of point-of-care ultras…
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Ravitch versus Nuss procedure for pectus excavatum: systematic review and meta-analysis Open
These results suggest no difference between the Nuss and Ravitch procedures for pediatric patients, while in adults the Ravitch procedure resulted in fewer complications.
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Diaphragm and transdiaphragmatic injuries Open
The incidence of traumatic diaphragmatic rupture (TDR) is around 0.5% of all trauma patients, located more frequently on the left side (80%), with penetrating trauma being more predominantly the cause (63%) than blunt injuries (37%). TDR t…
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Surgical Stabilization of Rib Fractures Open
Background: Rib fractures are a common thoracic injury that is encountered in 20% to 39% of patients with blunt chest trauma and is associated with substantial morbidity and mortality 1,2 . Traditionally, the majority of patient with rib f…
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Video-assisted thoracoscopic surgery for retained hemothorax in blunt chest trauma Open
Retained hemothorax derived from blunt chest trauma should be managed carefully and rapidly. Early VATS intervention is a well tolerated and reliable procedure that can be applied to manage this complication cost effectively.
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Clinical Utility of Chest Computed Tomography in Patients with Rib Fractures CT Chest and Rib Fractures Open
The chest X-ray missed ~75% of rib fractures seen on chest CT. Although patients with a clinical meaningful increase in the number of rib fractures were more likely to be admitted to the intensive care unit, there was no associated improve…
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A feasibility and safety study of computed tomography-guided percutaneous microwave ablation: a novel therapy for multiple synchronous ground-glass opacities of the lung Open
Purpose: The present study retrospectively evaluated the feasibility, safety, and short-term efficacy of computed tomography (CT)-guided percutaneous microwave ablation (MWA) to treat multiple synchronous ground-glass opacities (GGOs) of t…
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Completely thoracoscopic surgical stabilization of rib fractures: can it be done and is it worth it? Open
Surgical stabilization of rib fractures (SSRF) is now a common operation at most high-volume trauma centers. Increased experience with the procedure has spawned a variety of technical modifications to minimize incision length, muscle divis…
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Chest drain and thoracotomy for chest trauma Open
Traumas are the leading cause of death in the first four decades of life. Nevertheless, thoracic traumas only seldom require invasive procedures. In particular, chest drain placement is required in case of pleural disruption causing haemot…
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Application of Ultrasonography and Radiography in Detection of Hemothorax; a Systematic Review and Meta-Analysis. Open
The results of this study showed that although the sensitivity of ultrasonography in detection of hemothorax is relatively higher than radiography, but it is still at a moderate level (0.67%). The specificity of both imaging modalities wer…
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Application of Ultrasonography and Radiography in Detection of Hemothorax; a Systematic Review and Meta-Analysis Open
Introduction: Hemothorax is one of the most prevalent injuries caused by thoracic traumas. Early detection and treatment of this injury is of utmost importance in prognosis of the patient, but there are still controversial debates on the d…
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Focused Assessment with Sonography for Trauma (FAST) Open
The main cause of death in traumas is hypovolemic shock. Physical examination is limited to detect hemopericardium, hemoperitoneum, and hemopneumothorax. Computed tomography (CT) is the gold standard for traumatic injury evaluation. Howeve…
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Evaluation of Complications after Surgical Treatment of Thoracic Outlet Syndrome Open
The supraclavicular approach seems to be the more effective technique of the two because it offers the surgeon better access to the brachial plexus and a direct view. This approach for a TOS operation offers a better surgical outcome and l…
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Potential benefit of early operative utilization of low profile, partial resuscitative endovascular balloon occlusion of the aorta (P-REBOA) in major traumatic hemorrhage Open
A 28-year-old man with multiple gunshot wounds to the chest and upper extremities was transported by private vehicle to a community hospital with limited trauma capabilities. On arrival he developed pulseless electrical activity and cardio…
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Evaluation of Gunshot Wounds in the Emergency Department Open
Mortality rates in gunshot wound patients with cranial injuries are very high. Spontaneous return is not seen in patients brought to the ED in arrest state. Bullets can cause internal organ injuries which can be greater than expected. In t…
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Sharp recanalization for treatment of central venous occlusive disease in hemodialysis patients Open
Sharp recanalization is safe and feasible with high technical success for CVOD in patients requiring hemodialysis who cannot be recanalized using conventional techniques.
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The advantages of adding rib fixations during VATS for retained hemothorax in serious blunt chest trauma – A prospective cohort study Open
Adding rib fixation during VATS in the management of retained hemothorax can contribute to shorten whole treatment courses. Rib fixation can also reduce pain, thus reducing dependence on analgesics.
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Computed tomographic findings of chest injuries following cardiopulmonary resuscitation Open
Chest injuries are common and inevitable complications of chest compressions during cardiopulmonary resuscitation (CPR). This study aimed to investigate lung parenchymal and thoracic skeletal injuries after CPR by using computed tomography…
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A case report of thoracic endometriosis – A rare cause of haemothorax Open
The diagnosis of thoracic endometriosis is complicated and often delayed. TES should be suspected in a reproductive age woman with exacerbating symptoms during the menstruation. Treatment may be medical and surgical.
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Early Management of Retained Hemothorax in Blunt Head and Chest Trauma Open
Background Major blunt chest injury usually leads to the development of retained hemothorax and pneumothorax, and needs further intervention. However, since blunt chest injury may be combined with blunt head injury that typically requires …
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Diagnostic Accuracy of Ultrasonography and Radiography in Initial Evaluation of Chest Trauma Patients. Open
The results of the present study showed that ultrasonography is preferable to radiography in the initial evaluation of patients with traumatic injuries to the thoracic cavity.
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A Five-Year Study of Intrapleural Fibrinolytic Therapy in Loculated Pleural Collections Open
Intrapleural fibrinolytic therapy is a safe and cost-effective option in the management of selected patients with loculated pleural effusions.
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Risk Factors for Pneumonia in Ventilated Trauma Patients with Multiple Rib Fractures Open
Severe pulmonary contusion (pulmonary lung contusion score 6-12) is an independent risk factor for VAP in ventilated trauma patients with multiple rib fractures.
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Safety and Tolerability of Vacuum Versus Manual Drainage During Thoracentesis Open
Background: Pleural effusions may be aspirated manually or via vacuum during thoracentesis. This study compares the safety, pain level, and time involved in these techniques. Methods: We randomized 100 patients receiving ultrasound-guided …
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Hybrid operating room for the intraoperative CT-guided localization of pulmonary nodules Open
Video-assisted thoracic surgery (VATS) requires preoperative computed tomography (CT)-guided localization of small pulmonary nodules or ground glass opacities (GGOs). However, this traditional two-stage approach is not devoid of potential …
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Chest Masculinization Technique and Outcomes in 72 Double-incision Chest-contouring Procedures with Free Nipple Grafting Open
Background: Chest masculinization for gender affirmation is the removal of breast tissue and excess skin, often with repositioning of the nipple areola complexes to achieve a male-appearing chest. A double-incision technique with free nipp…
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Non-intubated video-assisted thoracic surgery in patients aged 80 years and older. Open
Non-intubated VATS utilizing local anesthesia and sedation in the elderly is well tolerated and safe for a number of indications.