Management of Retained Traumatic Hemothorax
Hemothorax is a common problem following both blunt and penetrating trauma. The majority of hemothoraces can be managed by simple tube thoracostomy placed on admission to the hospital. However, for up to 5% of patients who present with either traumatic hemothorax or hemo-pneumothorax, tube thoracostomy fails to completely decompress the entire hemothorax. Left untreated a retained hemothorax can lead to fibrothorax, entrapped lung or empyema. It is in this minority of patients who are otherwise hemodynamically stable that great controversy in surgical management exists.
KeywordsChest Tube Pleural Space Tube Thoracostomy Single Lung Ventilation Early Evacuation
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