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Penetrating injuries of the chest |
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| Affiliation: | 1. Centre médico-chirurgical du Cèdre, Bois-Guillaume, France;2. Service de chirurgie thoracique, hôpital Georges-Pompidou, 20-40 rue Leblanc, 75015 Paris, France;1. Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt;2. Cardiology Department, Tanta University, Tanta, Egypt;1. Division of Trauma, Department of Surgery, Stony Brook University School of Medicine, Stony Brook, New York;2. Department of Radiology, Stony Brook University School of Medicine, Stony Brook, New York;1. Service de chirurgie thoracique, université Paris-Descartes, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris France;2. Service de chirurgie thoracique, centre médico-chirurgical du Cèdre, 76230 Bois-Guillaume, France |
| Abstract: | Penetrating trauma to the chest can result in significant injury to the person involved and a serious burden to the healthcare service. Survival is determined by the nature of the injury and the impact with varying outcomes. Chest drainage is a key intervention which is both diagnostic and therapeutic in penetrating chest trauma. Thoracotomy can be life saving both as a resuscitative thoracotomy as well as urgent thoracotomy. The evolving investigations and interventions avoid unnecessary thoracotomies. Whilst life-saving thoracotomies can be performed by trauma surgeons and emergency doctors, complex injuries and sequelae of trauma are best managed by specialist cardiothoracic surgeons. |
| Keywords: | Clamshell incision intercostal drain penetrating trauma of the chest resuscitative thoracotomy |
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