Document Detail

A prospective evaluation of video-assisted thoracic surgery for persistent air leak due to trauma.
MedLine Citation:
PMID:  10414698     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The time required for air leak resolution after chest trauma is not well described. Based on an institutional review of posttraumatic air leaks our hypothesis was that video-assisted thoracic surgery (VATS) for persistent posttraumatic air leak would decrease chest tube days and length of stay compared with nonoperative management. METHODS: Patients were offered VATS versus nonoperative management when air leaks persisted longer than 3 days and the patients were otherwise ready for discharge. Chest tube days and length of stay were recorded. RESULTS: Of 223 trauma patients requiring chest tubes, 50 had persistent air leaks, 39 of whom were otherwise ready for discharge. Twenty-five chose VATS and 14 nonoperative (NOP) treatment. The mean chest tube days was 8.1 for VATS versus 11.8 for NOP (P = 0.001). Mean length of stay was 9.7 days for VATS and 16.5 days for NOP (P = 0.002). CONCLUSIONS: In patients otherwise ready for discharge VATS reduces chest tube days and length of stay when used to treat persistent posttraumatic air leak.
C R Schermer; B D Matteson; G B Demarest; R M Albrecht; V H Davis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  177     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-08-09     Completed Date:  1999-08-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  480-4     Citation Subset:  AIM; IM    
Department of Surgery, University of New Mexico, Albuquerque, USA.
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MeSH Terms
Chest Tubes
Endoscopy / methods*
Hemothorax / etiology,  surgery*,  therapy
Length of Stay
Pneumothorax / etiology,  surgery*,  therapy
Prospective Studies
Thoracic Injuries / complications*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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