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Surgery Thorax And Mediastinum ee15fbbf

Emergency thoracotomy is indicated following chest trauma in the following conditions except:-

A
Scapular and sternal fractures
B
Esophageal perforation
C
Penetrating injury with cardiac tamponade
D
Massive Hemothorax
High-Yield Explanation
Indications of Thoracotomy Initial tube thoracostomy drainage of > 1000 ml (penetrating injury) or >1500 ml (blunt injury) Ongoing tube thoracostomy drainage of >200 ml/hr for 3 consecutive hours in non-caogulopathic patients Caked hemothorax despite of placement of two chest tubes Tracheo-bronchial injury Selected descending torn aoa or great vessel injury Pericardial tamponade Cardiac herniation Massive air leak from chest tube with inadequate ventilation Open pneumothorax Esophageal perforation

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