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Single-incision video-assisted thoracoscopic evaluation and emergent surgery for severe lung and chest wall injury after thoracic trauma in a water park

  
@article{ATM15059,
	author = {Julio Sesma and Melodie Alvarez and Francisco Lirio and Carlos Galvez and Maria Galiana and Benno Baschwitz and Francisca Fornes and Sergio Bolufer},
	title = {Single-incision video-assisted thoracoscopic evaluation and  emergent surgery for severe lung and chest wall injury after  thoracic trauma in a water park},
	journal = {Annals of Translational Medicine},
	volume = {5},
	number = {16},
	year = {2017},
	keywords = {},
	abstract = {Thoracic trauma is a challenging situation with potential severe chest wall and intrathoracic organ injuries. We present a case of emergent surgery in a 23-year-old man with hemorrhagic shock due to massive lung and chest wall injury after thoracic trauma in a water slide. We performed a SI-VATS approach in order to define intrathoracic and chest wall injuries, and once checked the extension of the chest wall injury, we added a middle size thoracotomy just over the affected area in order to stabilize rib fractures with Judet plates, that had caused massive laceration in left lower lobe (LLL) and injured the pericardium causing myocardical tear. After checking bronchial and vascular viability of LLL we suggested a lung parenchyma preserving technique with PTFE protected pulmonary primary suture in order to avoid a lobectomy. Chest tubes were removed on 3rd postoperative day and patient was discharged on 14th postoperative day. He has already recovered his normal activity 6 months after surgery.},
	issn = {2305-5847},	url = {http://atm.amegroups.com/article/view/15059}
}