SURGICAL TACTICS IN PATIENTS WITH PENETRATING THORACIC INJURIES
Open Access
- 9 April 2021
- journal article
- Published by RS Global Sp. z O.O. in World Science
Abstract
To date, the basis of surgical tactics for chest injuries is the primary surgical treatment of the wound and drainage of the pleural cavity with dynamic monitoring and determination of indications for surgery, based on the amount of blood released by drainage, without any attempts to actively verify the nature of injuries.Treatment of patients on the basis of the so-called "individual approach" and active-waiting tactics, taking into account clinical, radiological and laboratory data, mainly meets the recommendations of the middle of the last century.From the standpoint of evidence-based medicine, thoracoscopy is the most effective method of topical diagnosis of traumatic hemothorax. Videothoracoscopic technologies significantly reduce the incidence of purulent intrapulmonary and pleural complications in penetrating lung injuries. Undoubted advantages of thoracoscopy are: full-fledged revision; accurate diagnosis, which eliminates doubts about the diagnosis and waiting period; determination of indications for drainage, operative thoracoscopy or thoracotomy.Keywords
This publication has 11 references indexed in Scilit:
- DETERMINATION OF THERAPEUTIC AND DIAGNOSTIC TACTICS IN PENETRATING SHOOTING AND PUNCH-CUTTING INJURIES OF THE CHEST USING SPIRAL COMPUTER TOMOGRAPHYKharkiv Surgical School, 2020
- Thoracic Injury in Patients Injured by Explosions on the Battlefield and in Terrorist IncidentsSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 2020
- Chest Trauma: Current Recommendations for Rib Fractures, Pneumothorax, and Other InjuriesCurrent Anesthesiology Reports, 2020
- Assessment of safety and bleeding risk in the use of extracorporeal membrane oxygenation for multitrauma patients: A multicenter reviewThe Journal of Trauma and Acute Care Surgery, 2019
- The place and role of videothoracoscopic surgical interventions in war wounds and injuries of the chest organsReports of Vinnytsia National Medical University, 2018
- Thoracic impalement injury: A survivor with large metallic object in-situChinese Journal of Traumatology, 2018
- Analysis of Prehospital Scene Times and Interventions on Mortality Outcomes in a National Cohort of Penetrating and Blunt Trauma PatientsPrehospital Emergency Care, 2018
- Blunt Cardiac Trauma ReviewCardiology Clinics, 2018
- Specific elements of thoracic wound managementJournal of Visceral Surgery, 2017
- Risk factors that predict mortality in patients with blunt chest wall trauma: A systematic review and meta-analysisInjury, 2012