Successful treatment of patient with thoracoabdominal injury with heart and esophageal trauma (clinical case).

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Abstract

The article presents a case of treating the patient with extrapleural thoracoabdominal injury with heart and esophageal trauma. Examination of the patient in a shock trauma operating room, the use of minimally invasive technologies (thoracoscopy, laparoscopy) allowed to choose the right treatment tactics, timely identify all injuries and eliminate them. The presented clinical observation demonstrates the feasibility of using video thoracoscopy and video laparoscopy in hemodynamically stable patients with penetrating thoracoabdominal wounds to detect damage to the heart and esophagus.

About the authors

Aleksandr I. Babich

State budgetary institution "Saint Petersburg research Institute of emergency care named after I. I. Dzhanelidze"

Author for correspondence.
Email: babichmed@mail.ru

Surgeon

Russian Federation, St.-Petersburg

Aleksandr N. Tulupov

"Saint Petersburg research Institute of Emergency medicine named after I. I. Janelidze"

Email: altul@yandex.ru

Doctor of medical Sciences, Professor, head of the combined trauma Department

Russian Federation, Saint Petersburg

Sergey Sh. Taniya

"Saint Petersburg research Institute of Emergency medicine named after I. I. Janelidze"

Email: babichmed@mail.ru

Doctor of medical Sciences, senior researcher in the Department of combined trauma

Russian Federation, Saint Petersburg

Andrey E. Demko

"Saint Petersburg research Institute of Emergency medicine named after I. I. Janelidze"

Email: babichmed@mail.ru

Doctor of medical Sciences, Deputy chief physician for surgery

Russian Federation, Saint Petersburg

References

  1. Brinster CJ, Singhal S, Lee L, et al. Evolving options in the management of esophageal perforation. Ann Thorac Surg. 2004;77(4):1475-1483. https://doi.org/10.1016/ j.athoracsur.2003.08.037.
  2. Schmidt SC, Strauch S, Rosch T, et al. Management of esophageal perforations. Surg Endosc. 2010;24(11):2809-2813. https://doi.org/10.1007/s00464-010-1054-6.
  3. Schweigert M, Sousa HS, Solymosi N, et al. Spotlight on esophageal perforation: A multinational study using the Pittsburgh esophageal perforation severity scoring system. J Thorac Cardiovasc Surg. 2016;151(4):1002-1009. https://doi.org/10.1016/j.jtcvs.2015.11.055.

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Copyright (c) 2020 Babich A.I., Tulupov A.N., Taniya S.S., Demko A.E.

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