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Emergency surgery for massive haemoptysis.

M Metin1, A Sayar, A Turna

  • 1Department of Thoracic Surgery, Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Zeytinburnu, Istanbul, Turkey.

Acta Chirurgica Belgica
|January 28, 2006
PubMed
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Massive haemoptysis management requires prompt intervention. Emergency pulmonary resection effectively controls bleeding in life-threatening cases, with acceptable outcomes for patients with massive haemoptysis.

Area of Science:

  • Thoracic Surgery
  • Pulmonology
  • Critical Care Medicine

Background:

  • Massive haemoptysis (≥ 600 ml/24 h) is a life-threatening condition with significant mortality.
  • Lung resection is the surgical treatment of choice for persistent, severe bleeding.
  • Effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy and safety of emergency pulmonary resection for massive haemoptysis.
  • To identify the underlying causes and surgical approaches used in managing this condition.
  • To assess the morbidity and mortality rates associated with surgical intervention.

Main Methods:

  • Retrospective review of 29 patients with massive haemoptysis treated between 1994 and 2001.

Related Experiment Videos

  • Patients underwent emergency thoracotomy following rigid bronchoscopy for bleeding localization.
  • Surgical interventions included lobectomies, pneumonectomies, segmentectomies, and bilobectomies.

    • Main Results:

    • Pulmonary tuberculosis was the most common cause (n=10), followed by emphysema and lung cancer.
    • All patients achieved haemostasis following surgical resection.
    • Operative morbidity was 27.5% and hospital mortality was 11.5%.

    Conclusions:

    • Emergency pulmonary resection is an effective treatment for massive haemoptysis.
    • The procedure offers acceptable morbidity and mortality rates despite ongoing debates on indications.
    • Surgical intervention provides a definitive solution for uncontrollable bleeding in massive haemoptysis.