Simultaneous rib osteosynthesis and thoracoscopic suturing of diaphragm at patient with severe chest trauma and respiratory insufficiency

A Benyan,E Korymasov,S Pushkin

doi:10.1186/1749-8090-8-s1-p37

Abstract

Results At first pulmonary ventilation was started and thoracocentesis with draining were performed. Then 4 rib osteosynthesis using Matrix Rib, thoracoscopy with sanation of hemothorax and suturing of diaphragm, and osteosynthesis of clavicle have been done. After operation patient was 36 hours on assisted ventilation. There were no complications in postoperative period. Patient was discharged from hospital in satisfactory condition on 14th day after operation. Conclusions Synchronous repair of injured organs of chest is indicated procedure for it prevents many severe complications including respiratory insufficiency.

Highlights

Severity of respiratory insufficiency at severe chest trauma is determined by many pathogenic mechanisms, including multiple rib fractures, ARDS, rupture of diaphragm
We present a case report of 42-years old man, who had sustained an injury result of pedestrian accident
There were no complications in postoperative period

Summary

Introduction

Severity of respiratory insufficiency at severe chest trauma is determined by many pathogenic mechanisms, including multiple rib fractures, ARDS, rupture of diaphragm. Simultaneous rib osteosynthesis and thoracoscopic suturing of diaphragm at patient with severe chest trauma and respiratory insufficiency From 23rd World Congress of the World Society of Cardio-Thoracic Surgeons Split, Croatia. Background Severity of respiratory insufficiency at severe chest trauma is determined by many pathogenic mechanisms, including multiple rib fractures, ARDS, rupture of diaphragm.

Results

Conclusion