Abstract
BackgroundTube thoracostomy (TT) is the most commonly performed surgical procedure in thoracic surgery clinics. The procedure might have to be repeated due to ineffective drainage in patients with tube malposition (TM), in whom the drain is not directed to the apex or located in the fissure. Trocar technique, which is used to prevent TM, is not recommended because of its potential for severe complications.MethodsThe study involved 180 patients who required TT application for any etiology within one year. The patients were divided into two groups as Group A, who had undergone classical surgical technique (n = 90) and Group B, who had undergone a combination of surgery and trocar techniques (n = 90). The groups were compared for TM, the effect of TM on the drain removal, and other insertion related complications.ResultsIn Group A, 23 patients had TM, 4 of whom developed associated ineffective drainage, while the patients in Group B had no insertion related complications (p = 0.001). The mean drain removal time of the patients with TM was 5 ± 2.25 days. In the patients who did not develop TM, it was 3.39 ± 1.18 days (p = 0.001).ConclusionsThe modified combination technique is a reliable method in preventing TM and its potential complications.
Highlights
TT is a standard and generally reliable method in the management of pathologies responsible for accumulation in the pleural space [1]
This study aimed to investigate the effects of combined modified technique that involves surgery and trocar technique on tube malposition (TM) and other potential complications
The groups were compared for TM occurrence, the effect of TM on the time of drain removal, and other tube thoracostomy complications
Summary
TT is a standard and generally reliable method in the management of pathologies responsible for accumulation in the pleural space [1]. The two most commonly used methods in the thoracic surgery clinics are surgery and trocar technique. Because the incidence rate of pulmonary parenchyma and intrathoracic organ injury is increased by trocar technique procedures, it is used in very few centers. This study aimed to investigate the effects of combined modified technique that involves surgery and trocar technique on tube malposition (TM) and other potential complications. Tube thoracostomy (TT) is the most commonly performed surgical procedure in thoracic surgery clinics. The procedure might have to be repeated due to ineffective drainage in patients with tube malposition (TM), in whom the drain is not directed to the apex or located in the fissure. Trocar technique, which is used to prevent TM, is not recommended because of its potential for severe complications
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