Chest trauma: features, complications, and treatment tactics
DOI:
https://doi.org/10.11603/2414-4533.2020.2.10779Keywords:
chest trauma, complications, managementAbstract
The aim of the work: to summarize the experience of treating patients with complicated chest trauma.
On the basis of the department of thoracic surgery of Ternopil University Hospital for the period 2015–2019 was treated 447 patients with toral injury were treated.
185 patients underwent metalo-osteosynthesis (MOS) ribs with LCP, which allows for early mobilization of patients, providing stable fixation of debris, reduction of pain. Thoracotomy was performed in 198 (44.3 %) patients, VATS was successfully performed in 19 (4.3 %) patients. The interventions consisted in the elimination of convoluted hemothorax, hemostasis in intra-pleural hemorrhages, suturing of diaphragm ruptures, resections of the lungs in the presence of massive ruptures or pneumocele. Heart wounds are one of the most difficult in the treatment of penetrating chest wounds. In the presence of a wound in the Grekov area, an emergency thoracotomy was performed with suturing of the heart wound, blood reinfusion and suturing of the pericardium with nodal sutures with the imposition of a contra-perforation.
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