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Erschienen in: General Thoracic and Cardiovascular Surgery 7/2023

11.03.2023 | Original Article

Minimally invasive surgery for anterior flail chest injury in the acute phase: series of 10 cases

verfasst von: Tomoki Nakagawa, Ryota Masuda, Shunsuke Yamada, Masayuki Iwazaki

Erschienen in: General Thoracic and Cardiovascular Surgery | Ausgabe 7/2023

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Abstract

Objective

Anterior flail chest frequency represents a significant case of ventilator insufficiency. Surgical stabilization of acute phase of trauma is considered to effectively shorten the period of ventilation compared to conservative treatment using mechanical ventilation. We have applied minimally invasive surgery to stabilize the injured chest wall.

Methods

Surgical stabilization of predominantly anterior flail chest segments was performed using one or two bars as per the Nuss procedure, during the acute phase of chest trauma. Data from all patients were examined.

Results

Ten patients received surgical stabilization using the Nuss method between 1999 and 2021. All patients had already been mechanically ventilated prior to surgery. The mean period from trauma to surgery was 4.2 days (range, 1–8 days). The number of bars used was one for 7 patients, and two for 3 patients. The mean operation time was 60 min (range, 25–107 min). All patients were extubated from artificial respiration without surgical complications or mortality. Mean total ventilation period was 6.5 days (range, 2–15 days). All bars were removed in a subsequent surgery. No collapses or fracture recurrences were observed.

Conclusion

This method is simple and effective for fixed anterior dominant frail segment.
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Metadaten
Titel
Minimally invasive surgery for anterior flail chest injury in the acute phase: series of 10 cases
verfasst von
Tomoki Nakagawa
Ryota Masuda
Shunsuke Yamada
Masayuki Iwazaki
Publikationsdatum
11.03.2023
Verlag
Springer Nature Singapore
Erschienen in
General Thoracic and Cardiovascular Surgery / Ausgabe 7/2023
Print ISSN: 1863-6705
Elektronische ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-023-01908-9

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