The role of video-assisted thoracoscopy in the treatment of isolated closed chest trauma

Author:

Kotandzhian V. G.1ORCID,Tarabrin E. A.2ORCID,Danielian Sh. N.1ORCID,Shabanov A. K.3ORCID,Popova I. E.1ORCID,Korneeva S. A.1,Rabadanov K. M.1ORCID,Tatarinova E. V.1ORCID,Nikolaeva E. B.1

Affiliation:

1. Sklifosovsky Institute

2. Sklifosovsky Institute; Sechenov First Moscow State Medical University (Sechenov University)

3. Sklifosovsky Institute; Federal Research and clinical center for Resuscitation and Rehabilitology

Abstract

The objective was to evaluate the effectiveness and safety of video-assisted thoracoscopic surgery for closed chest trauma and to determine the most favorable terms for performing surgical intervention in case of complicated closed chest injury.METHODS AND MATERIALS. The study included 95 patients who underwent video-assisted thoracoscopy (VATS) for closed chest trauma. Group I – operated within the first 5 days from the moment of injury; group II – operated within 5–10 days after injury; group III – operated later than 10 days after injury.RESULTS. Performing thoracoscopic intervention within the first 5 days after the injury significantly reduces the incidence of complications such as pneumonia, pleurisy, empyema. VTS allows safely and effectively performing various surgical procedures in case of complicated closed chest trauma, and diagnosing diaphragm injuries.CONCLUSION. Indications for video-assisted thoracoscopy should be set as early as possible.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

General Medicine

Reference49 articles.

1. Porhanov V. A, Zavrazhnov A. A., Polyakov I. S. et al. Current trends in the treatment of closed injuries and chest wounds in peacetime // Emergency medical and urgent care for the wounded and injured in mass admissions : Materials of the All-Russian Conference at the 3rd Congress of Emergency Medicine (to the 125 th anniversary of S. S. Yudin), (Moscow, October 6-7, 2016). Мoscow, N. V. Sklifosovsky Research Institute of Emergency Medicine, 2016:38–39. (In Russ.).

2. LoCicero J., Mattox K. L. Epidemiology of chest trauma // Surg Clin. 1989; 69(1): 15–19. Doi:10.1016/S0039-6109(16)44730-4.

3. Marts B., Durham R., Shapiro M. Computed tomography in the diagnosis of blunt thoracic injury // Am J Surg. 1994; 168(6): 688–692. Doi: 10.1016/S0002-9610(05)80146-1.

4. Harrison M. Traumatic pneumothorax: a review of current practices // Br J Hosp Med (Lond). 2014; 75(3): 132–135. Doi: 10.12968/hmed.2014.75.3.132.

5. Simon B. J., Cushman J., Barraco R. Pain management guidelines for blunt thoracic trauma // J Trauma. 2005; 59(5 ):1256–1267. Doi: 10.1097/01.ta.0000178063.77946.f5.

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