Shaukat Mahmood Mirza, Faisal Hanif, Akhtar Mahboob.
Lung Sparing, damage control Surgery for Major Thoracic Trauma.
Ann King Edward Med Uni Jan ;8(3):226-9.
This prospective study was carried out in the Department of Surgery, Mayo Hospital and Jinnah Hospital, Lahore from September 1998 to August 2001: A total of 23 patients were included in the study who underwent thoracotomy for pulmonary injuries. Age ranged from 13-62 years with mean age of 31 years and the patients were predominantly males (82.6%). Penetrating trauma was the main cause of thoracic injuries affecting 74% of patients. Associated injuries were found in 66% of patients with blunt trauma but only 29% of penetrating trauma victims. Damage control lung sparing surgery was performed and 39% patients suffered postoperative complications. Overall mortality after lung sparing surgery was 12.5% and after major resection 40%. The study emphasizes the importance of lung sparing surgical techniques, which are associated with lesser complications as compared to major pulmonary resections.
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