EARLY EVACUATION OF CLOTTED BLOOD IN HEMOTHORAX USING THORACOSCOPY

Mary C. Mancini, Lou M. Smith, A. G. Nein, Kennan J. Buechter

The Journal of Trauma: Injury, Infection, and Critical Care · 1993 · 46 citations · 0 references

Concepts

Abstract

Hemothorax complicated by clotting of the blood is traditionally treated with thoracotomy. Successful treatment using early thoracoscopy in two patients is described. A third patient, in whom thoracoscopic evacuation failed, is also discussed. Early timing of the procedure appears to enhance the opportunity for adequate drainage of the thorax with lung re-expansion.