Related Experiment Video

Updated: Jun 22, 2026

Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs
08:58

Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs

Published on: October 31, 2025

Pediatric traumatic bronchial rupture; results of early and late presentation

Noureldin Noaman Gwely1

  • 1Mansoura University, Egypt.

Interactive Cardiovascular and Thoracic Surgery
|June 25, 2009
PubMed

Insights

Early surgical repair of bronchial rupture in children following blunt chest trauma yields better outcomes than delayed treatment. Prompt intervention prevents complications and the need for pulmonary resection, improving prognosis.

Area of Science:

  • Pediatric Surgery
  • Thoracic Trauma
  • Respiratory Medicine

Background:

  • Blunt chest trauma in children can cause bronchial rupture, a severe injury.
  • Management strategies vary depending on presentation time (early vs. late).

Purpose of the Study:

  • To evaluate the outcomes of surgical management for bronchial rupture in pediatric patients.
  • To compare results between early and late presentations of bronchial rupture.
  • To analyze the prognosis associated with different treatment approaches.

Main Methods:

  • Retrospective review of 34 pediatric patients (<18 years) with bronchial rupture from January 2000 to December 2007.
  • Categorization into early (n=25) and late (n=9) presentation groups.
  • Surgical interventions included thoracotomy, direct sutures, reimplantation, and pulmonary resections.

Main Results:

  • Early presentation allowed for direct suture repair in most cases (84% via right thoracotomy).
  • Late presentations more frequently required pulmonary resections (55.56%) or reimplantation (44.44%).
  • Overall mortality was 11.76%, attributed to perioperative complications.

Conclusions:

  • Early diagnosis and surgical repair of bronchial rupture in children significantly improve outcomes and reduce the need for lung resection.
  • Timely intervention prevents parenchymal suppuration and associated complications.
  • Close collaboration between surgical and anesthesia teams is crucial for minimizing perioperative mortality.

Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax II: Pathophysiology01:08

Pneumothorax II: Pathophysiology

Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance between...
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...