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Published on: September 9, 2020
[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.
Insights
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.
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.
Abstract:
The authors report two clinical cases with similar stab wounds of the heart. The first patient underwent open wound closure, the second one - thoracoscopic suturing of the wound. The authors concluded that conversion may be unnecessary after diagnosis of heart injury if severe bleeding is absent.
