Thoracic trauma
View article: Completely thoracoscopic surgical stabilization of rib fractures: can it be done and is it worth it?
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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Pneumonia in severely injured patients with thoracic trauma: results of a retrospective observational multi-centre study Open
Level II - Retrospective medical record review.
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Surgical treatment of bronchial rupture in blunt chest trauma: a review of literature Open
Bronchial rupture by blunt chest trauma is rare. We present a case of bronchial injury after blunt chest trauma that was repaired surgically by primary reconstruction. We performed a review of literature to verify if primary reconstruction…
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Late complications due to thoracıc traumas Open
It will be appropriate for the physicians who are interested in trauma to determine the treatment modalities of the patients by considering many factors such as the age of the patient and the trauma type in terms of the late complications …
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Pediatric Blunt Thoracic Trauma Open
Thoracic injury in children deserves special attention because, although it accounts for less than 10% of traumatic injuries in children, there is a significant associated morbidity and mortality. This review discusses the anatomic and phy…
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Blunt chest trauma: is there a place for rib stabilization? Open
Rib fractures are a common and highly morbid finding in patients with blunt chest trauma. Over the past decade, a renewed interest in (and instrumentation for) rib fixation in this cohort has occurred. Stabilization of the chest wall in th…
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Video-assisted thoracoscopic surgery in trauma: pros and cons Open
Thoracic injuries account for 60% of all trauma presentations. These patients often have extra-thoracic injuries adding to the complexity of their management. Morbidity and the associated mortality are significantly increased in the elderl…
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Pulmonary Contusion in Mechanically Ventilated Subjects After Severe Trauma Open
Overall, no significant differences were noted in mortality, length of stay, or pneumonia rates between severely injured trauma subjects with and without pulmonary contusions.
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Penetrating thoracic injury with retained foreign body: can video-assisted thoracic surgery take up the leading role in acute management? Open
Video-assisted thoracic surgery (VATS) is widely adopted in acute management of patient with thoracic trauma, but its use in penetrating thoracic injuries with retained foreign bodies were rarely reported. We described three of such cases …
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Tracheobronchial injuries in chest trauma: a 17-year experience Open
Objective: to discuss the clinical and therapeutic aspects of tracheobronchial lesions in victims of thoracic trauma. Methods: we analyzed the medical records of patients with tracheobronchial lesions treated at the São Paulo Holy Home fro…
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Management of severe chest wall trauma Open
Injuries to the chest wall remain common and are attributable for 20–25% of all trauma deaths. In the most severe forms of chest trauma derangements of oxygenation and ventilation, severe inflammatory response, musculoskeletal structural c…
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Selective conservatism in the management of thoracic trauma remains appropriate in the 21st century Open
Introduction Selective conservatism for thoracic trauma is well established but the emergence of new technologies may cause management strategies to continue to evolve. Methods A retrospective study was conducted on thoracic trauma patient…
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MDCT Imaging of Non-Traumatic Thoracic Aortic Emergencies and Its Impact on Diagnosis and Management—A Reappraisal Open
Non-traumatic thoracic aorta emergencies are associated with significant morbidity and mortality. Diseases of the intimomedial layers (aortic dissection and variants) have been grouped under the common term of acute aortic syndrome because…
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Thoracic damage control surgery Open
The damage control surgery came up with the philosophy of applying essential maneuvers to control bleeding and abdominal contamination in trauma patients who are within the limits of their physiological reserves. This concept was extended …
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Airway management in penetrating thoracic trauma Open
Penetrating thoracic trauma accounts for 20–25% of all deaths due to trauma in the first four decades of life. About 33% of deaths from thoracic trauma occur due to penetrating trauma. In an autopsy study that enrolled 1178 trauma patients…
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Thoracic wall trauma—misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging Open
Blunt injuries to the chest wall are an important chapter on emergency room (ER) departments, being the third most common injuries in trauma patients which ominous complications could appear. This article describes different types of traum…
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The endovascular repair of blunt traumatic thoracic aortic injury in Asia: A systematic review and meta-analysis Open
Introduction Blunt traumatic thoracic aortic injury, the second leading cause of death from trauma, poses unique challenges in its management. However, there has not yet been a corresponding consolidated series of outcomes reported in Asia…
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Congenital, Acquired, and Trauma-Related Risk Factors for Thoracic Outlet Syndrome—Review of the Literature Open
Thoracic outlet syndrome is a group of disorders that affect the upper extremity and neck, resulting in compression of the neurovascular bundle that exits the thoracic outlet. Depending on the type of compressed structure, the arterial, ve…
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The ROX index as a predictor of standard oxygen therapy outcomes in thoracic trauma Open
Background Thoracic trauma is commonplace and accounts for 50–70% of the injuries found in severe trauma. Little information is available in the literature as to timing of endotracheal intubation. The main objective of this study was to as…
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Tomographic aspects of penetrating thoracic trauma: injuries from firearms and other weapons Open
Objective: The aim of this study was to analyze the various computed tomography findings in penetrating chest trauma, as well as to determine the frequency and extent of the lesions. Material and Methods: We studied the computed tomography…
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Video-assisted thoracoscopic surgery for penetrating thoracic trauma Open
The results indicate that VATS has the merits of shorter operation time, non-blind area, exact surgical path and less bleeding comparing with traditional operation.
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Severe thoracic impalement injury: survival in a case with delayed surgical definitive care Open
Impalement injuries are rare and among the most spectacular and dramatic traumatic lesions. The survival of a patient with a thoracic impalement injury is an extremely rare event. The objective of this study was to present the case of a 24…
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Major cardiothoracic trauma: Eleven-year review of outcomes in the North West of England Open
Introduction Up to 15% of patients with cardiothoracic trauma require emergency surgery, and death can be prevented in a substantial proportion of this group. UK reports have emphasised the need for improvement in this field. We assessed m…
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Thoracic Trauma: Analysis of 440 Cases Open
Aim: Trauma still has a significant place among the reasons for death before the age of 40.This study analyzed the cases with thoracic trauma that were monitored at our center in a period of eight years. Material and Method:The study was c…
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The first hour of trauma reception is critical for patients with major thoracic trauma Open
BACKGROUND Up to 25% of trauma deaths are related to thoracic injuries. OBJECTIVE The primary goal was to analyse the incidence and time distribution of death in adult patients with major thoracic injuries. The secondary goal was to determ…
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Fatal delayed rupture of the subclavian artery in a patient with first‐rib fracture caused by blunt trauma Open
Key Clinical Message This case highlights the probable association of significantly displaced posterior first‐rib fracture and jagged edges of the fracture line following blunt chest trauma with delayed ipsilateral subclavian artery ruptur…
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Thoracic Trauma: Current Approach in Emergency Medicine Open
Chest trauma is the leading cause of death in people under 40. It is estimated to cause around 140,000 deaths each year. The key aims are to reduce mortality and the impact of associated complications to expedite recovery and to restore pa…
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Total thoracic herniation of the liver: a case of delayed right-sided diaphragmatic hernia after blunt trauma Open
Background Traumatic diaphragmatic injuries (TDIs) are relatively uncommon and require surgical repair to prevent or address herniation. Three quarters of TDIs are due to blunt thoraco-abdominal trauma. In blunt TDIs, variable clinical pre…
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Thoracoscopic management of incarcerated lung herniation after blunt chest trauma: a case report and literature review Open
Traumatic lung herniation is a rare condition that is usually treated with thoracotomy and pericostal fixation of adjacent ribs with sutures. We described a traumatic lung herniation case successfully managed with hernia reduction and doub…