Year 2019, Volume 5, Issue 2, Pages 306 - 310 2019-03-04

Management of traumatic pneumothorax in isolated blunt chest trauma

Murat Sarıçam [1] , Berker Özkan [2] , Yaşar Türk [3]

108 372

Objectives: Pneumothorax is an important complication of blunt chest trauma. The aim of this study was to report our experience in treatment strategy and outcomes of traumatic pneumothorax.

Methods: A total of 78 patients who developed pneumothorax due to isolated blunt chest trauma were evaluated in terms of age, gender, size of pneumothorax, treatment methods, complications and length of hospital stay. The size of pneumothorax was calculated with computer-aided volumetry.

Results: Tube thoracostomy was performed for 48 patients while observation was undertaken for 30 cases. Chest tubes were inserted in 6 patients after 24 hours following the traumatic event. A total of 8 patients who developed prolonged air leakage and hemothorax as complications underwent video-assisted thoracoscopic surgery. None of the patients developed any mortality or morbidity.

Conclusions: Traumatic pneumothorax demands prompt diagnosis and treatment. Monitoring all patients even with small sizes of traumatic pneumothorax for at least 24 hours onset of their initial assessment and applying chest tubes for cases who have pneumothorax larger than 50% at first examination should be an appropriate modality for treatment. Moreover, the minimally invasive approach of video-assisted thoracoscopic surgery benefits to overcome the complications of thoracic trauma. 

Blunt chest trauma, traumatic pneumothorax, treatment
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Orcid: 0000-0003-3469-5798
Author: Murat Sarıçam (Primary Author)
Institution: Department of Thoracic Surgery, Namık Kemal University School of Medicine, Tekirdağ, Turkey
Country: Turkey


Orcid: 0000-0003-2157-4778
Author: Berker Özkan
Institution: Department of Thoracic Surgery, İstanbul University School of Medicine, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0001-6728-3664
Author: Yaşar Türk
Institution: Department of Radiology, Namık Kemal University School of Medicine, Tekirdağ, Turkey
Country: Turkey


Dates

Publication Date: March 4, 2019

EndNote %0 The European Research Journal Management of traumatic pneumothorax in isolated blunt chest trauma %A Murat Sarıçam , Berker Özkan , Yaşar Türk %T Management of traumatic pneumothorax in isolated blunt chest trauma %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 2 %R doi: 10.18621/eurj.375947 %U 10.18621/eurj.375947