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Chirurgia 2006 December;19(6):443-5

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: English

A case of thoracic impalement treated by VATS

Bonadiman C., Terzi A., Benato C., Calabrò F.

Thoracic Surgery Unit Azienda Ospedaliera-Universitaria, Verona, Verona Italy


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Video assisted thoracic surgery has an established place in the diagnosis and treatment of blunt and penetrating chest injuries, however reports on cases of thoracic impalement treated by video assisted thoracoscopy are exceedingly rare. We report on a case of thoracic impalement, that occurred in a young man. The impaling object was safely removed under video assisted guidance, once it was determined that no lesion to vital structures had occurred. VATS allowed a precise definition of the injury and avoided an unnecessary thoracotomy. A VATS approach is suggested for hemodynamically stable patients, even in cases of impalement injury.

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