Thoracoscopy in the Evaluation and Management of Thoracic Trauma

J. L. Sosa, H. Pombo, I. Puente, Danny Sleeman, Enrique Ginzburg, M. Mckinney, L. Martin

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Video-thoracoscopy was used to evaluate and manage patients after thoracic trauma. It was used in 29 patients. Indications included retained hemothorax in 16 patients, empyema in 11, evaluation for the source of thoracic bleeding in 1, and an airleak in 1. The mechanism of injury was blunt trauma in 8 cases, 10 with stab wounds, and 11 with gunshot wounds. In blunt trauma, thoracoscopy was carried out an average of 11.7 days post injury, chest tubes were removed after an average of 7 days post thoracoscopy, and discharge averaged 10.7 days after thoracoscopy. The failure rate was 12.5 % with no mortality. In stab wounds, it was carried out an average of 8.8 days post injury, chest tube removal occurred after 6.1 days, and discharge averaged 7.8 days after thoracoscopy. The failure rate was 20% with no mortality. In gunshot wounds, it was carried out an average of 7.5 days after injury, chest tubes were removed after 9.9 days, and discharge averaged 16 days post thoracoscopy. The failure rate was 9% with a mortality of 9%. Overall, the failure rate for thoracoscopy was 13.8% (4/29). The mortality rate was 3.5% (1/29). It was successfully performed up to 30 days post injury. It proved to be effective in the management of empyema, evacuation of clotted hemothorax, and diagnosis of ongoing thoracic bleeding.

Original languageEnglish
Pages (from-to)187-189
Number of pages3
JournalInternational Surgery
Volume83
Issue number3
StatePublished - Jul 1 1998

Fingerprint

Thoracoscopy
Thorax
Wounds and Injuries
Chest Tubes
Stab Wounds
Hemothorax
Gunshot Wounds
Empyema
Mortality
Hemorrhage
Nonpenetrating Wounds

Keywords

  • Bleeding
  • Empyema
  • Hemothorax
  • Trauma
  • Video-thoracoscopy

ASJC Scopus subject areas

  • Surgery

Cite this

Sosa, J. L., Pombo, H., Puente, I., Sleeman, D., Ginzburg, E., Mckinney, M., & Martin, L. (1998). Thoracoscopy in the Evaluation and Management of Thoracic Trauma. International Surgery, 83(3), 187-189.

Thoracoscopy in the Evaluation and Management of Thoracic Trauma. / Sosa, J. L.; Pombo, H.; Puente, I.; Sleeman, Danny; Ginzburg, Enrique; Mckinney, M.; Martin, L.

In: International Surgery, Vol. 83, No. 3, 01.07.1998, p. 187-189.

Research output: Contribution to journalArticle

Sosa, JL, Pombo, H, Puente, I, Sleeman, D, Ginzburg, E, Mckinney, M & Martin, L 1998, 'Thoracoscopy in the Evaluation and Management of Thoracic Trauma', International Surgery, vol. 83, no. 3, pp. 187-189.
Sosa JL, Pombo H, Puente I, Sleeman D, Ginzburg E, Mckinney M et al. Thoracoscopy in the Evaluation and Management of Thoracic Trauma. International Surgery. 1998 Jul 1;83(3):187-189.
Sosa, J. L. ; Pombo, H. ; Puente, I. ; Sleeman, Danny ; Ginzburg, Enrique ; Mckinney, M. ; Martin, L. / Thoracoscopy in the Evaluation and Management of Thoracic Trauma. In: International Surgery. 1998 ; Vol. 83, No. 3. pp. 187-189.
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