Skip to main navigation menu Skip to main content Skip to site footer

Surgical management of rib fractures: experience at a referral center

Manejo quirúrgico de las fracturas costales: experiencia en un centro de referencia




Section
Research article

How to Cite
Surgical management of rib fractures: experience at a referral center.
rev. colomb. neumol. [Internet]. 2016 Dec. 30 [cited 2024 Nov. 21];28(2):72-7. Disponible en: https://doi.org/10.30789/rcneumologia.v28.n2.2016.218

Dimensions
PlumX
license

Ninguna publicación, nacional o extranjera, podrá reproducir ni traducir sus artículos ni sus resúmenes sin previa autorización escrita del editor; sin embargo  los usuarios pueden descargar la información contenida en ella, pero deben darle atribución o reconocimiento de propiedad intelectual, deben usarlo tal como está, sin derivación alguna.

Mauricio Velásquez, MD.
    Viviana Orozco-Martín, MD.

      Mauricio Velásquez, MD.,

      Cirugía de Tórax. Línea de Investigación Biomédica en Tórax, Fundación Valle del Lili. Facultad de Ciencias de la Salud, Universidad Icesi. Cali, Colombia.

      Viviana Orozco-Martín, MD.,

      Médica Rural de Investigación. Fundación Valle del Lili. Facultad de Ciencias de la Salud, Universidad Icesi. Cali, Colombia.

      Introduction: multiple rib fractures are common in chest trauma, and are associated with high morbidity and mortality rates. Surgical treatment of rib fractures has been shown to reduce respiratory complications, length of hospital stay, pain, functional disability, and mortality.

      Objective: to evaluate the results of surgical management of patients with multiple rib fractures.

      Methodology: a descriptive, prospective study was carried out over the period from January 2011 to May 2016, during which 78 patients were operated. The cohort was divided in two groups, in order to compare two periods of time in the management of these patients, and thus to identify whether there were differences in the outcomes.

      Results: there is a learning curve, not only in the surgical group who perform the procedure, but also in the whole medical group in charge of patients with multiple rib fractures.


      Article visits 640 | PDF visits 4957


      Downloads

      Download data is not yet available.
      1. Kiraly L, Schreiber M. Management of the crushed chest. Crit Care Med. 2010;38:s469-77.
      2. Dehghan N, de Maestral C, McKee M, Schemitsch E, Nathens A. Flail chest injuries: A review of outcomes and treatment practices from the national trauma data bank. J Trauma Acute Care Surg. 2014;76:462-8.
      3. Ziegler D, Agarwal N. The morbidity and mortality of rib fractures. J Trauma Acute Care Surg. 1994;37:975–9.
      4. Nirula R, Mayberry J. Rib fracture fixation: Controversies and technical challenges. Am Surg. 2010;76:793-802.
      5. Pieracci F, Lin Y, Rodil M, Synder M, Herbert B, Tran DK, et al. A prospective, controlled clinical evaluation of surgical stabilization of severe rib fractures. J Trauma Acute Care Surg. 2016;80:187-94.
      6. Velasquez M, Ordóñez C, Parra M, Domínguez A, Puyana J. Operative versus nonoperative management of multiple rib fractures. Am Surg. 2016(3):82:e103-5.
      7. Nirula R, Diaz JJ Jr, Trunkey D, Mayberry J. Rib fracture repair: Indications, technical issues, and future directions. World J Surg. 2009;33(1):14-22.
      8. Simon B, Ebert J, Bokhari F, Capella J, Emhoff T, Hayward T et al. Eastern Association for the surgery of Trauma: Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012;73(5suppl4):S351-61.
      9. Tanaka H, Yukioka T, Yamaguti Y, Shimizu S, Goto H, Matsuda H, et al. Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma. 2002;52:727-32.
      10. Granetzny A, Abd El-Aal M, Emam E, Shalaby A, Boseila A. Surgical versus conservative treatment of flail chest. Evaluation of the pulmonary status. Int Cardiovasc Thorac Surg. 2005;4:583-7.
      11. Marasco S, Davies A, Cooper J, Varma D, Bennet V, Nevill R, et al. Prospective Randomized Controlled Trial of operative rib fixation in traumatic flail chest. J Am Coll Surg. 2013;216(5):924-32.
      12. Slobogean G, MacPherson C, Sun T, Pelletier M, Hameed S. Surgical fixation vs. nonoperative management of flail chest: A meta-Analysis. J Am Coll Surg. 2013;216:302-11.
      13. Leinicke J, Elmore L, Freeman B, Colditz G. Operative management of rib fractures in the setting of flail chest. Ann Surg. 2013;258(6):914-21.
      Sistema OJS 3.4.0.7 - Metabiblioteca |