SUBXIPHOID VIDEO ASSISTED THORACOSCOPIC SURGERY (VATS) FOR CHEST TRAUMA AND COMPLICATIONS

Abstract

Introduction: Subxiphoid approach Video Assisted Thoracoscopic Surgery (VATS) is a minimally invasive surgical technique which can applied to variety of thoracic procedures with unanimous results even in emergency conditions such as chest trauma. This paper presents uniport-subxiphoid approach Video Assisted Thora Aim: coscopic Surgery (VATS) used in chest trauma and its detailed analysis. In this study, a total of 30 patients from November Material and Methods: 2022 to March 2023 underwent Subxiphoid approach Video Assisted Thoracoscopic Surgery (VATS) for the management of haemothorax and complications post chest trauma. In a Result: total of 30 patients from November 2022 to March 2023, Single port subxiphoid approach Video Assisted Thoracoscopic Surgery (VATS) was used to successfully conclude the surgery essential in all these patients presenting to Teerthanker Mahaveer Medical College and Hospital, post chest trauma. Additionally, 3 patients who developed bronchopleural stula post chest trauma also underwent correction using uniport subxiphoid Video Assisted Thoracoscopic Surgery (VATS). No postoperative wound infection was noted. Complete Haemothorax removal was achieved in all these patients. There was no case noted of post operative wound infection. All the patients were discharged early. Conclusion: Classical Median Sternotomy is the standard approach for haemothorax evacuation as indicated in previous studies. However, access through classical median sternotomy is associated with a higher risk of local infection and sternal instability. Additionally, it may sometimes be burdened with a high perioperative risk due to massive mediastinal adhesions in the late postoperative period. The uniport subxiphoid approach Video Assisted Thoracoscopic Surgery (VATS) is an effective procedure for evacuating haemothorax and correcting chest complications post trauma. Subxiphoid Video Assisted Thoracoscopic Surgery (VATS) intervention is also associated with decreased rates of chest infections and superior cosmesis. Moreover, it signicantly reduced the duration of ventilator dependency. The clinical outcomes were signicantly better for patients undergoing uniport Subxiphoid Video Assisted Thoracoscopic Surgery (VATS).