Sadra Medical Journal

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Indexing and Abstracting

Related Links

FAQ

Peer Review Process

News

A Descriptive Evaluation of Thoracotomy in Patients with Thoracic Trauma: a Two-year Study at Shiraz Namazi Hospital

Document Type : Original Article

Authors

1 Assistante Professor, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran

2 MD, Jahrom University of Medical Sciences, Jahrom, Iran

3 Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

4 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

5 Associate Professor, Department of Surgery, Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: Trauma is one of the leading causes of mortality and morbidity worldwide. Among different types of injuries, chest trauma is responsible for a vast majority of trauma-related mortality and morbidity.
Methods: This descriptive, cross-sectional study included cases of thoracic trauma that underwent thoracotomy at Shiraz Namazi Hospital from March 2008 to March 2010. The collected data from each patient included: demographics (age and sex), type of trauma, type of surgical intervention, volume of hemothorax, number of packed red blood cells transfusions, and the consequent adverse effects.
Results: A total number of 81 patients (mean age= 26.72 years old) were included in this study, of which 74 cases (91.4%) were male and 7 cases (8.6%) were female. Reportedly, the most prevalent type of trauma was penetrating injury (71.6 %); the most used surgical approach was left anterolateral thoracotomy (55.6%); the mean hemothorax volume was 1686.53 cc, and the average number of transfused pack red blood cells was 3.74 units per patient. The mean time of surgery was 161.25 minutes, and the most susceptible organ for injury was the lung with an injury prevalence rate of 55.4%. The mean duration of hospital stay was 8.43 days. 5 patients (6.2%) underwent a second surgery and 15 cases (18.5%) did not survive the surgery.
Conclusions: According to the findings of this study, anterolateral incision was the most used thoracotomy approach in patients with thoracic trauma.

Keywords

References
1. Paydar S, Ahmadi A, Dalfardi B, Shakibafard A, Abbasi H, Bolandparvaz S. Clinical and economic effects of selective radiological evaluation of high-energy trauma patients: a prospective experience of a level 1 busy trauma center. Emerg Med J 2015; 32(7): 535-538.
2. Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health 2000; 90(4): 523-526.
3. O'Reilly GM, Joshipura M, Cameron PA, Gruen R. Trauma registries in developing countries: a review of the published experience. Injury 2013; 44(6): 713-721.
4. Abbasi HR, Mousavi SM, Taheri Akerdi A, Niakan MH, Bolandparvaz S, Paydar S. Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran. Bull Emerg Trauma 2013; 1(2): 81-85.
5. Fazel MR, Fakharian E, Mahdian M, Mohammadzadeh M, Salehfard L, Ramezani M. Demographic Profiles of Adult Trauma During a 5 Year Period (2007-2011) in Kashan, IR Iran. Arch Trauma Res 2012; 1(2): 63-66.
6. Chardoli M, Hasan-Ghaliaee T, Akbari H, Rahimi-Movaghar V. Accuracy of chest radiography versus chest computed tomography in hemodynamically stable patients with blunt chest trauma. Chin J Traumatol 2013; 16(6): 351-354.
7. Raghavendran K, Notter RH, Davidson BA, Helinski JD, Kunkel SL, Knight PR. Lung contusion: inflammatory mechanisms and interaction with other injuries. Shock 2009; 32(2): 122-130.
8. Rasmussen OV, Brynitz S, Struve-Christensen E. Thoracic injuries. Scandinavian Journal of Thoracic and Cardiovascular Surgery 1986; 20(1): 71-74.
9. Veysi VT, Nikolaou VS, Paliobeis C, Efstathopoulos N, Giannoudis PV. Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience. Int Orthop 2009; 33(5): 1425-1433.
10. Bijani M, Nikrooz L, Naghizadeh MM, Tavakkol Z. The Incidence of Chest Trauma in Patients Refer to Vali-Asr Hospital of Fasa: (Epidemiology of chest trauma). Journal of Fasa University of Medical Sciences 2013; 3(3): 285-289. (Persian)
11. Onat S, Ulku R, Avci A, Ates G, Ozcelik C. Urgent thoracotomy for penetrating chest trauma: analysis of 158 patients of a single center. Injury 2011; 42(9): 900-904.
12. Heratian Z, Zarei S, Lashkari MH. Evaluation the frequency of the injuries caused by chest trauma among patients in Besat air force hospital. Islamic Azad University of Medical Science 2004; 15(3): 147-150. (Persian)
13. Soleimani H, Iranfar Sh. Investigation the causes of trauma among the hospitalized patients in the surgical section of Taleghani training and remedial center in 1994. Scientific Journal of Medical University of Kermanshah 1996; 4(1): 65-70. (Persian)
14. Behdad A, Hosseinpour M, Rezaei Adaryani M. Assessment of Chest Trauma in Patients Admitted to Academic Medical Centers of Isfahan. KAUMS Journal 2008; 11(5): 43-46. (Persian)
15. Westphal FL, Lima LC, Lima Netto JC, Silva Jde S, Santos Junior VL, Westphal DC. Thoracic trauma: analysis of 124 patients who underwent thoracotomy. Rev Col Bras Cir 2009; 36(6): 482-486.
16. Davoodabadi A, Abdorrahim kasha E, Fattahi M, Mousavi Gh, Afshar M, Talebiyan A. Chest Trauma epidemiology in Trauma centers of Kashan in 2004-2008. Kashan University of Medical Sciences Journal 2008; 11(5): 17-22. (Persian)
17. Adegboye V, Ladipo J, Brimmo I, Adebo A. Blunt chest trauma. African Journal of Medicine and Medical Sciences 2002; 31(4): 315-320.
18. Johannesdottir BK, Mogensen B, Gudbjartsson T. Emergency thoracotomy as a rescue treatment for trauma patients in Iceland. Injury 2013; 44(9): 1186-1190.
19. Tan BK, Pothiawala S, Ong ME. Emergency thoracotomy: a review of its role in severe chest trauma. Minerva Chir 2013; 68(3): 241-250.
20. Ahmad T, Ahmed SW, Hussain N, Khan MI. Role of Urgent Thoracotomy in improving the survival of patients with severe chest trauma. J Coll Physicians Surg Pak 2009; 19(9): 575-578.
Sadra Medical Journal
Volume 5, Issue 2
April 2017
Pages 69-76
Files
Share
How to cite
Statistics