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Damage control surgery for unstable thoracic wall injury
Yoshihide Shimojo1,2, Shunsuke Kuramoto1,2, Tomohiro Muronoi1,2
1Shimane Advanced Trauma Center, Shimane University Hospital, Japan.
Trauma Case Reports
|April 23, 2019
Summary
Damage control surgery (DCS) for severe chest wall injuries can be life-saving. A novel chest wall lifting procedure, combined with pneumatic stabilization, successfully improved breathing in a critical patient.
Area of Science:
- Trauma Surgery
- Thoracic Surgery
- Surgical Innovation
Background:
- Damage control surgery (DCS) principles are established for thoracic and cardiac injuries.
- DCS is not yet a defined concept for severe chest wall injuries.
- Flail chest with significant chest wall destruction presents unique challenges.
Observation:
- A patient with severe chest wall destruction and flail chest was treated.
- The treatment involved a novel chest wall lifting procedure and internal pneumatic stabilization.
- Abnormal breathing patterns significantly improved post-procedure.
Findings:
- The chest wall lifting procedure, combined with pneumatic stabilization, effectively managed severe chest wall injury.
- This approach facilitated initial stabilization and improved respiratory mechanics.
- Subsequent surgical fixation with KANI plates was performed at a later stage.
Implications:
- The chest wall lifting procedure shows promise as a component of DCS for extensive thoracic cage destruction.
- This technique may offer a viable strategy for managing complex chest wall trauma.
- Further research is warranted to validate this approach in a broader patient cohort.
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