Damage control surgery for unstable thoracic wall injury

Damage control surgery for unstable thoracic wall injury

Damage control surgery (DCS) consists of three steps: an abbreviated initial operation, resuscitation in the ICU, and a planned reoperation. Although DCS for lung and heart injury have been established, there is no concept of DCS for the chest wall. We experienced a successful case, in which a DCS o...

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Main Authors: Yoshihide Shimojo, Shunsuke Kuramoto, Tomohiro Muronoi, Kazuyuki Oka, Akihiko Kidani, Eiji Hira, Hiroaki Watanabe
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Trauma Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644019300226
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spelling doaj-c3fece7564564845ad9702e75df6e5cc2020-11-24T21:29:04ZengElsevierTrauma Case Reports2352-64402019-06-0121Damage control surgery for unstable thoracic wall injuryYoshihide Shimojo0Shunsuke Kuramoto1Tomohiro Muronoi2Kazuyuki Oka3Akihiko Kidani4Eiji Hira5Hiroaki Watanabe6Corresponding author at: 89-1 Enya-cho, Izumo-shi, Shimane 693-8501, Japan.; Shimane Advanced Trauma Center, Shimane University Hospital, Japan; Department of Acute Care Surgery, Shimane University Faculty of Medicine, JapanShimane Advanced Trauma Center, Shimane University Hospital, Japan; Department of Acute Care Surgery, Shimane University Faculty of Medicine, JapanShimane Advanced Trauma Center, Shimane University Hospital, Japan; Department of Acute Care Surgery, Shimane University Faculty of Medicine, JapanShimane Advanced Trauma Center, Shimane University Hospital, Japan; Department of Acute Care Surgery, Shimane University Faculty of Medicine, JapanShimane Advanced Trauma Center, Shimane University Hospital, Japan; Department of Acute Care Surgery, Shimane University Faculty of Medicine, JapanShimane Advanced Trauma Center, Shimane University Hospital, Japan; Department of Acute Care Surgery, Shimane University Faculty of Medicine, JapanShimane Advanced Trauma Center, Shimane University Hospital, Japan; Department of Acute Care Surgery, Shimane University Faculty of Medicine, JapanDamage control surgery (DCS) consists of three steps: an abbreviated initial operation, resuscitation in the ICU, and a planned reoperation. Although DCS for lung and heart injury have been established, there is no concept of DCS for the chest wall. We experienced a successful case, in which a DCS of chest wall lifting procedure and internal pneumatic stabilization were performed on the flail chest accompanied by a remarkable destruction of chest wall. As a result, the patient's abnormal breathing improved. Surgical fixations using KANI plate were performed at a later date. We suggest that the chest wall lifting procedure may be suitable as a DCS for thoracic cage destruction from severe chest wall injury. Keywords: Damage control surgery, Thoracic wall destruction, Rib fracture, Surgical stabilizationhttp://www.sciencedirect.com/science/article/pii/S2352644019300226
collection DOAJ
language English
format Article
sources DOAJ
author Yoshihide Shimojo
Shunsuke Kuramoto
Tomohiro Muronoi
Kazuyuki Oka
Akihiko Kidani
Eiji Hira
Hiroaki Watanabe
spellingShingle Yoshihide Shimojo
Shunsuke Kuramoto
Tomohiro Muronoi
Kazuyuki Oka
Akihiko Kidani
Eiji Hira
Hiroaki Watanabe
Damage control surgery for unstable thoracic wall injury
Trauma Case Reports
author_facet Yoshihide Shimojo
Shunsuke Kuramoto
Tomohiro Muronoi
Kazuyuki Oka
Akihiko Kidani
Eiji Hira
Hiroaki Watanabe
author_sort Yoshihide Shimojo
title Damage control surgery for unstable thoracic wall injury
title_short Damage control surgery for unstable thoracic wall injury
title_full Damage control surgery for unstable thoracic wall injury
title_fullStr Damage control surgery for unstable thoracic wall injury
title_full_unstemmed Damage control surgery for unstable thoracic wall injury
title_sort damage control surgery for unstable thoracic wall injury
publisher Elsevier
series Trauma Case Reports
issn 2352-6440
publishDate 2019-06-01
description Damage control surgery (DCS) consists of three steps: an abbreviated initial operation, resuscitation in the ICU, and a planned reoperation. Although DCS for lung and heart injury have been established, there is no concept of DCS for the chest wall. We experienced a successful case, in which a DCS of chest wall lifting procedure and internal pneumatic stabilization were performed on the flail chest accompanied by a remarkable destruction of chest wall. As a result, the patient's abnormal breathing improved. Surgical fixations using KANI plate were performed at a later date. We suggest that the chest wall lifting procedure may be suitable as a DCS for thoracic cage destruction from severe chest wall injury. Keywords: Damage control surgery, Thoracic wall destruction, Rib fracture, Surgical stabilization
url http://www.sciencedirect.com/science/article/pii/S2352644019300226
work_keys_str_mv AT yoshihideshimojo damagecontrolsurgeryforunstablethoracicwallinjury
AT shunsukekuramoto damagecontrolsurgeryforunstablethoracicwallinjury
AT tomohiromuronoi damagecontrolsurgeryforunstablethoracicwallinjury
AT kazuyukioka damagecontrolsurgeryforunstablethoracicwallinjury
AT akihikokidani damagecontrolsurgeryforunstablethoracicwallinjury
AT eijihira damagecontrolsurgeryforunstablethoracicwallinjury
AT hiroakiwatanabe damagecontrolsurgeryforunstablethoracicwallinjury
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