A novel and safe technique in closed tube thoracostomy.
J Cardiothorac Surg
; 5: 21, 2010 Apr 06.
Article
in En
| MEDLINE
| ID: mdl-20370923
ABSTRACT
BACKGROUND:
Tube thoracostomy (TT) is the most commonly performed surgical procedure in thoracic surgery clinics. The procedure might have to be repeated due to ineffective drainage in patients with tube malposition (TM), in whom the drain is not directed to the apex or located in the fissure. Trocar technique, which is used to prevent TM, is not recommended because of its potential for severe complications.METHODS:
The study involved 180 patients who required TT application for any etiology within one year. The patients were divided into two groups as Group A, who had undergone classical surgical technique (n = 90) and Group B, who had undergone a combination of surgery and trocar techniques (n = 90). The groups were compared for TM, the effect of TM on the drain removal, and other insertion related complications.RESULTS:
In Group A, 23 patients had TM, 4 of whom developed associated ineffective drainage, while the patients in Group B had no insertion related complications (p = 0.001). The mean drain removal time of the patients with TM was 5 +/- 2.25 days. In the patients who did not develop TM, it was 3.39 +/- 1.18 days (p = 0.001).CONCLUSIONS:
The modified combination technique is a reliable method in preventing TM and its potential complications.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Thoracostomy
/
Chest Tubes
/
Drainage
Type of study:
Clinical_trials
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
J Cardiothorac Surg
Year:
2010
Document type:
Article
Affiliation country:
Turkey
Publication country:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM