Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

A comparison of rigid -v- video thoracoscopy in the management of chest trauma. Injury 1998 Nov;29(9):655-9

Date

04/22/1999

Pubmed ID

10211196

DOI

10.1016/s0020-1383(98)00157-0

Scopus ID

2-s2.0-0032435093 (requires institutional sign-in at Scopus site)   16 Citations

Abstract

Between December 1, 1994 and April 1,1998, 44 thoracoscopic procedures were performed in 42 patients following chest injuries. Indications included exploration in 15, retained haemothorax in 10, continued bleeding after chest tube placement in 3, air leak in 5 and empyema in 11. Video thoracoscopy was used in 24 cases and rigid thoracoscopy in 20, including 14 patients in whom video thoracoscopy was contraindicated. There was no difference in the operative times, length of stay or incidence of complications. Two formal and 3 "mini" thoracotomies were used in the video thoracoscopy group. Three "mini" thoracotomies were required in the rigid thoracoscopy group. Rigid thoracoscopy is an effective tool that, in selected cases, increases the utility of thoracoscopy in the management of chest trauma and its complications.

Author List

Karmy-Jones R, Vallieres E, Kralovich K, Gasparri M, Sorensen VJ, Horst HM, Patton JH Jr, Wagner J, Wood D, Brundage S, Obeid FN

Author

Mario G. Gasparri MD Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Contraindications
Empyema, Pleural
Endoscopy
Fiber Optic Technology
Hemothorax
Humans
Intraoperative Period
Length of Stay
Thoracic Injuries
Thoracoscopy