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Surgery General f8b43147

Which is not an indication of thoracotomy -

A
Massive pneumothorax
B
Pulmonary contusion
C
Bleeding more than 200m1/hr. in thoracotomy tube
D
Oesophageal rupture
High-Yield Explanation
Indications of thoracotomy after chest trauma Cardiac arrest (resuscitative thoracotomy) Massive hemothorax (drainage of more than 1500 ml of blood when a chest tube is first inserted or continuous haemorrhage of more than 200 ml/hr for more than 3 consecutive hours). Brisk bleeding (> 100 ml/15 min) Penetrating injuries of the anterior chest with cardiac tamponade. Large open wounds of the thoracic cage. Rupture of the bronchus, aorta, esophagus or diaphragm. A non-emergent indication of thoracotomy Empyema not resolved with tube thoracostomy Clotted hemothorax Lung abcess Thoracic duct injuries Tracheoesophageal fistulas Chronic sequelae of vascular injuries (pseudo aneurysms & AV fistulas) Such an exhaustive list is prepared by mixing all the three books. (Shwartz, Sabiston, Bailey)

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