Pulmonary laceration surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

As with other chest injuries such as pulmonary contusion, hemothorax, and pneumothorax, pulmonary laceration can often be treated with just supplemental oxygen, ventilation, and drainage of fluids from the chest cavity.[1]

A thoracostomy tube can be used to remove blood and air from the chest cavity.[2] About five percent of cases require surgery, called thoracotomy. Thoracotomy is especially likely to be needed if a lung fails to re-expand; if pneumothorax, bleeding, or coughing up blood persist; or in order to remove clotted blood from a hemothorax. Surgical treatment includes suturing, stapling, oversewing, and wedging out of the laceration. Occasionally, surgeons must perform a lobectomy, in which a lobe of the lung is removed, or a pneumonectomy, in which an entire lung is removed.

References

  1. Hara H, Yoshimura H (2004). "Traumatic lung injury". Kyobu Geka (in Japanese). 57 (8): 762–769. PMID 15362557. Unknown parameter |month= ignored (help)
  2. Sartorelli KH, Vane DW (2004). "The diagnosis and management of children with blunt injury of the chest". Seminars in Pediatric Surgery. 13 (2): 98–105. doi:doi:10.1053/j.sempedsurg.2004.01.005 Check |doi= value (help). PMID 15362279. Unknown parameter |month= ignored (help)

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