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Management of Retained Traumatic Hemothorax

  • David Gourlay
Chapter
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Abstract

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.

Keywords

Chest Tube Pleural Space Tube Thoracostomy Single Lung Ventilation Early Evacuation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Selected References

  1. Condon RE. Spontaneous Resolution of Experimental Clotted Hemothorax. Surg. Gynecol. and Obstet. 1968; 126:505–515.Google Scholar
  2. Coselli JS, Mattox KL, Beall AC. Reevaluation of Early Evacuation of Clotted Hemothorax. Am. J. Surgery 1984; 148:786–790.CrossRefGoogle Scholar
  3. Eddy CA, Luna GK, Copass M. Empyema Thoracis in Patients Undergoing Emergent Closed Tube Thoracostomy for Thoracic Trauma. Am. J. Surgery 1989; 157:494–497.CrossRefGoogle Scholar
  4. • Inci I, Özçelik C, Ülkü R, et al. Intrapleural Fibrinolytic Treatment of Traumatic Clotted Hemothorax. Chest. 1998; 114:160–165.PubMedCrossRefGoogle Scholar
  5. Langston HT, Tuttle WM. The Pathology of Chronic Traumatic Hemothorax. J. Thor.Surg. 1947; 16:99–116.Google Scholar
  6. Meyer DM, Jessen ME, Wait MA, Estrera AS. Early Evacuation of TraumaticRetained Hemothoraces Using Thoracoscopy: A Prospective, Randomized Trial. Ann. Thorac. Surg. 1997; 64:1396–1401.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • David Gourlay

There are no affiliations available

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