MMSL 2019, 88(4):180-187 | DOI: 10.31482/mmsl.2019.011

TREATMENT OF HEMOTHORAX IN THE ERA OF THE MINIMALY INVASIVE SURGERYReview article

Radek Pohnán ORCID...1,2*, ©árka Blaľková2, Vladislav Hytych2, Petr Svoboda1, Michal Makeµ1, Iva Holmquist ORCID...3,4, Miroslav Ryska ORCID...1
1 Department of Surgery, Central Military Hospital – Faculty Military Hospital, 2nd Faculty of Medicine, Charles University, Prague, Czech Republic
2 Department of Thoracic Surgery, Thomayer's Hospital, 140 59 Prague, Czech Republic
3 Emory University Hospital Midtown, Maternity Center, Atlanta, Georgia, USA
4 Department of Epidemiology, Faculty of Health Sciences, University of Defence, Hradec Kralove, Czech Republic

Hemothorax is a frequent clinical situation often associated with chest injury or with iatrogenic lesions. Spontaneous hemothorax is uncommon and among its cause may include coagulation disorders, pleural, pulmonary or vascular pathology. Diagnostics is based on radiography or ultrasound and thoracentesis which may be also therapeutic solution. The majority of hemothoraxes can be managed non-operatively but hemodynamic instability, the volume of evacuated blood and persisting blood loss or persisting hemothorax require surgery. A surgical approach may vary from open thoracotomy to rapidly developing minimally invasive methods - video-assisted thoracoscopic surgery (VATS) and videothoracoscopy (VTS).

Keywords: hemothorax; surgery; VATS; thoracotomy

Received: July 19, 2018; Accepted: May 13, 2019; Prepublished online: May 20, 2019; Published: December 6, 2019  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Pohnán, R., Blaľková, ©., Hytych, V., Svoboda, P., Makeµ, M., Holmquist, I., & Ryska, M. (2019). TREATMENT OF HEMOTHORAX IN THE ERA OF THE MINIMALY INVASIVE SURGERY. MMSL, 88(4), 180-187. doi: 10.31482/mmsl.2019.011
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Petrone P, et al. Surgical management of penetratitig pulmonary injuries. SJTREM. 2009;17:1-8. Go to original source... Go to PubMed...
    2. Pezzella AT, et al. Cardiothoracic trauma. Curr Prob Surg. 1998;35:747-790. Go to original source... Go to PubMed...
    3. Richardson JD, et al. Complex thoracic injuries. Surg Clin North Am. 1996;76:725-748. Go to original source... Go to PubMed...
    4. Shields TW, et al. General Thoracic surgery 7th edition. Philadelphia, LWW, 2009.
    5. Boersma WG, et al. Treatment of haemothorax. J Rmed. 2010;104:1583-1587. Go to original source... Go to PubMed...
    6. Yeam I, et al. Haemothorax and chylothorax. Curr Opin Pulm Med. 1997;3:310-314. Go to original source... Go to PubMed...
    7. Hytych V, et al. Importance of systemic mediastinal lymphadenectomy in exact staging of bronchogenic carcinoma. Bratislava Medical Journal. 2013;114 (10):569-572. Go to original source... Go to PubMed...
    8. Mahmood K, et al. Hemorrgahic complications of thoracentesis and small-bore chest tube placement in patients taking clopidogrel. Ann Am Thorac Soc. 2014;11(1):73-79. Go to original source... Go to PubMed...
    9. Hytych V, et al.VATS lobectomy, history, indication, contraindication and general techniques. Bratislava Medical Journal. 2015;116(7):400-403 Go to original source... Go to PubMed...
    10. Baumann MH, et al. Pneumothorax Consensus Group. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest. 2001;119(2):590-602. Go to original source... Go to PubMed...
    11. Pohnan R, et al. Echinococcosis mimicking liver malignancy:A case report. Internat J of Surgery Case Reports. 2017;36:55-58. Go to original source... Go to PubMed...
    12. Föhrding LZ, et al. A case of lethal spontaneous massive hemothorax in patient with neurofibromatosis. J Cardiothorac Surg. 2014;29 (9):172. Go to original source... Go to PubMed...
    13. Karanth SS, et al. Unilateral massive hemothorax in Dengue hemorrhagic fever: a unique presentation. Asian Pac J Trop Med. 2012;5(9):753-754. Go to original source... Go to PubMed...
    14. Ayed AK, et al. Diagnosis and treatment of traumatic pulmonary injury. Injury. 2004;35:484-499. Go to original source...
    15. Mann FA, et al. Diagnostic and interventional radiology. Trauma, 5th edition, New York, 2004.
    16. Knudson JT, et al. Surgeon-performed ultrasound for pneumothorax in the trauma suite. J Trauma. 2004;56:527-530. Go to original source... Go to PubMed...
    17. Hanpeter DE, et al. Helical computed tomography scan in the evaluation of mediastinal gunshot wounds. J Trauma. 2000;19:689-695. Go to original source... Go to PubMed...
    18. Lowdermilk GA, et al. Thoracoscopic evaluation and treatment of thoracic trauma. Surg Clin North Am. 2000;80:1535-1542. Go to original source... Go to PubMed...
    19. Ahmed N., et al. Role of early thoracoscopy for management of penetrating wounds of the chest. Am Surg. 2010;76(11):1236-1239. Go to original source... Go to PubMed...
    20. Moulton JS, et al. Treatment of complicated pleural fluid collections with imageguided drainage and intracavitary urokinase. Chest. 1995;108:1252-1259. Go to original source... Go to PubMed...
    21. Thommi G, et al. Efficacy and safety of intrapleural instillation of alteplase in the management of complicated pleural effusion or empyema. Am J Ther. 2007;14:341-345. Go to original source... Go to PubMed...
    22. Luchette FA, et al. Practice Management Guidelines for Prophylactic Antibiotic Use in Tube Thoracostomy for Traumatic Hemopneumothorax: The EAST Practice Management Guidelines Work Group. J Trauma. 2000;48(4):753-757. Go to original source... Go to PubMed...
    23. Maxwell RA, et al. Use of presumptive antibiotics following tube thoracostomy for traumatic hemopneumothorax in the prevention of empyema and pneumonia a multi-center trial. J Trauma. 2004;57:742-748. Go to original source... Go to PubMed...
    24. Gonzalez RP, et al. Role of prophylactic antibiotics for tube thoracostomy in chest trauma. Am Surg. 1998;64:617-620. Go to PubMed...
    25. Hytych V, et al. Our own method of fixation of biodegradable tracheal stent. Bratislava Medical Journal. 2015;116 (5):340-342. Go to original source... Go to PubMed...
    26. Lin HL, et al. How eartly should VATS be performed for retained haemothorax in blunt chest trauma. Injury. 2014;45(9):1359-1364. Go to original source... Go to PubMed...
    27. Wu N, et al. A comparison of video-assisted thoracoscopic surgery with open thoracotomy for the management of chest trauma: a systematic review and meta-analysis. World J Surg. 2015;39 (4):940-952. Go to original source... Go to PubMed...
    28. Velmahos GC, et al. Early thoracoscopy for the evacuation of undrained haemothorax. Eur J Surg. 1999;165:924-929. Go to original source... Go to PubMed...

    Return to the content