Lung- Sparing, Damage Control Surgery for Major Thoracic Trauma

Abstract

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.