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Related Concept Videos

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:

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Related Experiment Video

Updated: Jul 12, 2026

Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy
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[Is thoracoscopic heart suturing possible for stab wounds?]

O V Papysheva1, Yu V Belov2,3, A E Voinovsky1,2

  • 1Yudin Moscow City Clinical Hospital, Moscow, Russia.

Khirurgiia
|March 15, 2022
PubMed
Summary

Minimally invasive thoracoscopic suturing may be a viable alternative to open wound closure for stab wounds to the heart, especially when severe bleeding is absent.

Keywords:
conversionheart injurystab woundthoracoscopic suturing

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Area of Science:

  • Cardiothoracic Surgery
  • Trauma Surgery
  • Minimally Invasive Procedures

Background:

  • Stab wounds to the heart are critical injuries requiring prompt surgical intervention.
  • Traditional management often involves open chest exploration and repair.

Purpose of the Study:

  • To compare the outcomes of open wound closure versus thoracoscopic suturing for stab wounds of the heart.
  • To evaluate the necessity of conversion to open surgery in cases of cardiac injury without severe bleeding.

Main Methods:

  • Case report of two patients with similar stab wounds to the heart.
  • One patient underwent open wound closure.
  • The second patient was treated with thoracoscopic suturing.

Main Results:

  • Both patients with stab wounds to the heart were successfully treated.
  • Thoracoscopic suturing was performed on the second patient.
  • Conversion to open surgery was not required for the second patient.

Conclusions:

  • Thoracoscopic suturing is a feasible option for treating stab wounds to the heart.
  • Conversion to open surgery may be avoided in select cases of cardiac injury, particularly when severe hemorrhage is not present.