Emergency surgery for major pulmonary injury

dc.contributor.authorMokoena, Taole
dc.contributor.emailtaole.mokoena@up.ac.zaen_ZA
dc.date.accessioned2017-06-21T12:22:27Z
dc.date.available2017-06-21T12:22:27Z
dc.date.issued2016
dc.description.abstractSeverely shocked patients with thoracic injury often require emergency thoracotomy before a definite diagnosis can be made. A method of management of pulmonary injury is described by performing exploratory resuscitative anterolateral thoracotomy which can be extended across the sternum to the opposite side, if necessary. Control of haemorrhage from the lung is achieved by mass clamping of the hilum and waiting for further resuscitation. After adequate resuscitation, specific management of the lung injury is performed as indicated. This approach was used in 26 cases of life-threatening pulmonary injury. Exposure of the injured lung was good in all cases. Pneumonography was performed in 8, segmental resection in 8 and pneumonectomy in 5 cases. Surgery and resuscitation were abandoned in 5 unsalvageable cases. Eleven patients (42%) survived. All general and trauma surgeons should be able to perform emergency thoracotomy for trauma. The method described here is simple, needs no special equipment and is suitable for most instances.en_ZA
dc.description.departmentSurgeryen_ZA
dc.description.librarianam2017en_ZA
dc.description.urihttps://www.jcpsp.pken_ZA
dc.identifier.citationMokoena, T 2016, 'Emergency surgery for major pulmonary injury', Journal of the College of Physicians and Surgeons Pakistan, vol. 26, no. 1, pp. 60-62.en_ZA
dc.identifier.issn1022-386X (print)
dc.identifier.issn1681-7168 (online)
dc.identifier.urihttp://hdl.handle.net/2263/61059
dc.language.isoenen_ZA
dc.publisherCollege of Physicians and Surgeons Pakistanen_ZA
dc.rightsCollege of Physicians and Surgeons Pakistanen_ZA
dc.subjectThoracic traumaen_ZA
dc.subjectMajor pulmonary injuryen_ZA
dc.subjectBilateral clam-shell thoracotomyen_ZA
dc.titleEmergency surgery for major pulmonary injuryen_ZA
dc.typeArticleen_ZA

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