Home > Journals > Minerva Chirurgica > Past Issues > Minerva Chirurgica 2000 December;55(12) > Minerva Chirurgica 2000 December;55(12):861-8

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe PROMO
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints

 

CASE REPORT   

Minerva Chirurgica 2000 December;55(12):861-8

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Thoracic injury. Observations on the surgical management of flail chest

Bianchi M., Cataldi M.


PDF


Two cases of thoracic injuries with flail chest are described. Particularly, the indications and management of surgical treatment, of flail chest are discussed. It is important not to reconstitute the anatomic structure of the chest, but to recover the physiological respiratory motion. Today, the first choice is the mechanical ventilation, even if it needs a long period of time and sometimes it has some complications. The surgical treatment is absolute only when other thoracic lesion i.e. massive hemothorax, pulmonary, tracheal and bronchial injuries) joined the flail chest. Often the surgical management follows the ventilation therapy; in these cases, thoracotomy is better made in five or six days after trauma. Today, the Kirschner pins or Judet plates are used for fixation. Sometimes, when injury is considerable synthetic meshes are also used.

top of page