TY - JOUR AU - Sesma, Julio AU - Alvarez, Melodie AU - Lirio, Francisco AU - Galvez, Carlos AU - Galiana, Maria AU - Baschwitz, Benno AU - Fornes, Francisca AU - Bolufer, Sergio PY - 2017 TI - Single-incision video-assisted thoracoscopic evaluation and emergent surgery for severe lung and chest wall injury after thoracic trauma in a water park JF - Annals of Translational Medicine; Vol 5, No 16 (August 11, 2017): Annals of Translational Medicine Y2 - 2017 KW - N2 - 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. UR - https://atm.amegroups.org/article/view/15059