Abstract
Patients with thoracic trauma constitute one third of all the trauma cases. Of traumatic patients, 20–25 % die because of thoracic trauma. Our aim was to compare our clinical experience and the results with the related literature. Four hundred thirty-three patients, who underwent surgical interventions due to thoracic trauma, were evaluated. The latest form of treatment applied were taken as the criteria for the quantitative detection of patients. Continuous variables were expressed as mean ± standard deviation, while categorical variables were explained as number and percentage. The significance of the analysis results was evaluated using Fisher’s exact test. p values <0.05 were considered as significant. Penetrating injuries were found in 258 (59 %) of the patients, and blunt trauma was identified in 175 (41 %). Depending on the trauma, pneumothorax was discovered in 130 patients (30.02 %), hemothorax in 117 (27.02 %), hemopneumothorax in 61 (14.08 %), pulmonary contusion in 110 (45 %), pneumomediastinum in 14 (3.23 %), and pericardial tamponade in 1 patient (0.23 %). It was demonstrated that 385 of 433 patients examined in the study underwent tube thoracostomy, 41 were treated with thoracotomy, while 6 of them underwent video-assisted thoracoscopic surgery (VATS), and 1 underwent sternotomy. No correlation was observed between mortality, morbidity, and gender and type of trauma and location of trauma (p > 0.05). However, statistically significant correlation was found between mortaxlity, morbidity, and the presence of concomitant injuries, the duration between injury and admission being more than 1 h (p < 0.05). Urgent intervention, early diagnosis, and fast transport are vital for patients with thoracic injuries.
Similar content being viewed by others
References
Pezella T, Silva WE, Lancey RA (1998) Cardiothoracic trauma. Curr Probl Surg 35(8):649–789
Kaiser LR, Singhal S (2004) Surgical foundations: essentials of thoracic surgery. J Am Heart Assoc 110(20):3157
Grover FL, Richardson JD, Fewel JG, Arom KV, Webb GE, Trinkle JK (1977) Prophylactic antibiotics in the treatment of penetrating chest wounds. J Cardiovasc Thoracic Surg 74(4):528–536
Wilson RF, Gibson DB, Antonenko D (1977) Shock and acute respiratory failure after chest trauma. Jo Traum 17(9):697–705
Yuksel M, Cetin G (2003) Thoracic trauma. Turgut Publishing, Istanbul
Battistella FD, Benfield JR (2000) Blunt and penetrating injuries of the chest wall, pleura, and lungs. In: Shields TW, LoCicero J, Ponn RB (eds) General thoracic surgery, 5th edn. Lippincott Williams Wilkins, Philadelphia, p 815–863
Cakan A, Yuncu G, Olgac G, Alar T (2001) Thoracic trauma: analysis of 987 patients. Turk J Traum Emerg Surg 7:236–241
Tekinbas C, Eroglu A, Kurkcuoglu IC, Turkyilmaz A, Yekeler E, Karaoglanoglu N (2003) Thoracic trauma: analysis of 592 patients. Turk J Traum Emerg Surg 9(4):275–280
Yoruk Y, Sunar H, Kose S, Mehmed R, Akkus M (1996) Thoracic trauma. Turk J Traum Emerg Surg 2(2):189–193
Aydemir B, Imamoglu OU, Ustaoglu R, Okay T, Dogusoy I (2011) Tracheobronchial injuries. Turk J Traum Emerg Surg 17(1):41–45
Yalcinkaya I, Biliciler U (1999) Traumatic bronchial rupture: a case report. Eastern J Med 4(1):39–41
Simms ER, Flaris AN, Franchino X, Thomas MS, Caillot JL, Voiglio EJ (2013) Bilateral anterior thoracotomy (clamshell incision) is the ideal emergency thoracotomy incision: an anatomic study. World J Surg 37(6):1277–1285
Goodman M, Lewis J, Guitron J, Reed M, Pritts T, Starnes S (2013) Video-assisted thoracoscopic surgery for acute thoracic trauma. J Emerg Traum Shock 6(2):106–109
Washington B, Wilson RF, Steiger Z, Basset JS (1985) Emergency thoracotomy: a four year review. Ann Thorac Surg 40(2):188–191
Shorr RM, Crittenden M, Indeck M, Hartunian SL, Rodriguez A (1987) Blunt thoracic trauma. Analysis of 515 patients. Ann Surg 206(2):200–205
Gopinath N (2004) Thoracic trauma. Ind J Thorac Cardiovac Surg 20(3):144–148
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Source of Funding
This study was not funded by any department.
Conflict of Interest
The authors declare that they have no competing interests.
Ethics Approval
Our retrospective study has been approved by the Ethics Committee of Dicle University of Medicine (Confirmation number: 117).
Rights and permissions
About this article
Cite this article
Çakmak, M., Nail Kandemir, M. Study of 433 Operated Cases of Thoracic Trauma. Indian J Surg 78, 477–481 (2016). https://doi.org/10.1007/s12262-015-1414-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-015-1414-5