VIDEO-ASSISTED THORACOSCOPIC SURGERY (VATS) IN CHEST-LUNG INJURIES
Abstract:
A hemodynamically stable patient presenting with persisting bleeding through his chest tube is
a classic indication for early thoracoscopic intervention in trauma. The source of bleeding and air leaks
can be identified and often treated: bleeding and perforated pulmonary segments can be resected, and
chest wall bleeding can be coagulated or sutured. Non or partially drainable hemothorax is an
indication for thoracoscopy. Coagulated blood can be mechanically mobilized, and aspirated or primary
bleeding may be stopped. Correct placement of the drainage is part of optimized therapy along with
inspection of all intra-thoracic organs and surfaces. The advent of VATS revolutionizes the practice of
surgery within a short span of time. Video assisted thoracic surgery (VATS) has become an acceptable
approach to a wide range of thoracic post-traumatic procedures. The use of VATS as a diagnostic
modality is recently established. VATS is still in evolution. In this study, we evaluated the accuracy of
radiological test and the outcome after VATS evacuation of retained hemothorax and the associated
intra-thoracic injuries in patients with fluid chest injury treated in 1st surgical clino-thoraco-esophagial
department within Sibiu County Clinical Emergency Hospital.
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