Background: The most commonly performed surgical procedure in thoracic surgery is Tube thoracostomy. General surgeons, intensivists, emergency physicians, and respiratory physicians may at one time or the other be required to perform tube thoracostomy as a lifesaving procedure. Objective: To observe experience of tube thoracostomy under thoracic surgery unit of BSMMU, Dhaka, Bangladesh. Methodology: This was a prospective, descriptive study conducted at thoracic surgery unit of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Study duration was from 02.12.2018 to 01.10.2021, total 2 years and 10 months. All patients of all age group such as from 2 years of age to 93 years of age those who underwent Tube thoracostomy under thoracic surgery unit were included in the study. All the data were collected for age, sex, occupation, indications of tube thoracostomy, post procedural complications & hospital stay. Results: 250 patients of different pathologies related to chest underwent tube thoracostomy during this period. Mean age was 47.53 years SD± 2.15; minimum age was 2 years and maximum age was 93 years. Among them 173 (69.2%) were male and 77 (30.8%) were female. Male to female ratio was 2.24: 1. Pleural effusion was the most common indication of tube thoracostomy which was in 141 (56.4%) patients followed by pneumothorax 21 (11.6%) patients. Regarding the etiology for tube thoracostomy, it was found that Shows in (Figure 2) Routine 219 cases 87.6% and Emergency 31 cases 12.4% (Due to chest trauma following road traffic accident, during CV catheterization, during lung biopsy), which includes 141 (56.4%) patients of pleural effusion, 29 (11.6%) patients of hydro pneumothorax, and 27 (10.8%) patients of empyema thoracic. Postoperative complications were recognized in 8 patients in shows (Figure 6). It includes Surgical site infection in 5 (2.0%) patients and accidental withdrawal of chest tube by patient himself 3 (1.2%) had dislodged. In 56.0% cases chest drain tube was removed within 7 days (Table 3). Chest drain tube was always given in “Safety triangle”. All cases were done by local anesthesia (2% lignocaine injection). Mean hospital stay was 15.5 days with the range of 2 to 45 days. Conclusion: Chest tube insertion is the first line treatment for variety of life-threatening chest diseases. This is a safe & effective procedure with 3.2% post procedural complications which is comparable to international literature.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 7, Issue 6) |
| DOI | 10.11648/j.ijcts.20210706.11 |
| Page(s) | 59-63 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Tube Thoracostomy, Indications, Pleural Effusion, Complications
| [1] | F. C. Hewett, “Thoracentesis: the plan of continuous aspiration,” The British Medical Journal, vol. 1, no. 793, p. 317, 1876. |
| [2] | S. F. Monaghan and K. G. Swan, “Tube thoracostomy: the struggle to the ‘standard of care’,” Annals of Thoracic Surgery, vol. 86, no. 6, pp. 2019–2022, 2008. |
| [3] | H. Lilienthal, “Resection of the lung for suppurative infections with a report based on 31 operative cases in which resection was done or intended,” Annals of Surgery, vol. 75, no. 3, pp. 257–320, 1922. |
| [4] | Brett’s RH, Lees WM. Military thoracic surgery in the forward area. J Thorac Surg 1946; 15: 44-63. |
| [5] | Ramoska EA, Sacchetti AD, Warden TM. Credentialing of emergency medicine physicians: Support for delineation of privileges in invasive procedures. Am J Emerg Med 1988; 6: 278-81. |
| [6] | Light RW. Pleural controversy: optimal chest tube size for drainage. Respirology. 2011; 16: 244–8. |
| [7] | Aylwin CJ, Brohi K, Davies GD, Walsh MS. Pre- hospital and In- Hospital Thoracostomy: Indications and complications. Ann R Coll Surg Engl 2008; 90 (1): 54-57. |
| [8] | Miller KS, Sahn SA. Review. Chest tubes. Indications, technique, management and complications. Chest 1987; 91: 258 – 64. |
| [9] | Dural K, Gulbahar G, Kocer B, Sakinci U. A novel and safe technique in closed tube thoracostomy. J Cardiothorac Surg. 2010; 5: 21. |
| [10] | Millikan J, Moore E, Steiner E et al. Complications of tube thoracostomy for acute trauma. Am J Surg 1980; 140: 738-41. |
| [11] | Collop NA, Kim S, Sahn SA. Analysis of tube tho-racostomy performed by pulmonologists at a teaching hospital. Chest 1997; 112: 709-13. |
| [12] | Chad GB, Jason L, Kevin B, Laupland, and Scott GM, Robert H et al. Chest tube complications: How well are we training our residents? Can J Surg. 2007 Dec; 50 (6): 450-8. |
| [13] | Maritz D, Wallis L, Hardcastle T. Complications of tube thoracostomy for chest trauma. S Afr Med J 2009; 99: 114-117. |
| [14] | Bailey RC. Complications of tube thoracostomy in trauma. J Accid Emerg Med 2000, March; 17 (2): 111- 4. |
| [15] | Omar HR, Abdelmalak H, Mangar D, Rashad R, Helal E, Camporesi EM. Occult pneumothorax, revisited. J Trauma Manag Outcomes. 2010; 4: 12. |
| [16] | Khanzada TW, Samad A. Indications and compli- cations of tube thoracostomy performed by gen- eral surgeons. JPMA 2008; 58 (1): 39-44. |
| [17] | Al- Tarshihi MI, Khamash FA, Al-Ibrahim AEO. Thoracostomy complications and pitfalls: An experience at tertiary care military hospital. Rawal Med J 2008, Jul – Dec; 33 (2): 141-4. |
| [18] | Baldt M, Bankier A, Germann P, Poschl GP, Skrbensky GT, Herold CJ. Complications after emergency tube thoracostomy: assessment with CT. Radiology 1995; 195: 539 -43. |
| [19] | Stark D, Federle M, Goodman P. CT and radio- graphic assessment of tube thoracostomy. AJR 1983; 141: 253 – 58. |
APA Style
Heemel Saha, Md. Sharfuddin Ahmed, A. K. M. Mosharraf Hossain, Md. Atiqur Rahman. (2021). Experience of First 250 Cases of Tube Thoracostomy Under Thoracic Surgery Unit of BSMMU, Dhaka, Bangladesh. International Journal of Cardiovascular and Thoracic Surgery, 7(6), 59-63. https://doi.org/10.11648/j.ijcts.20210706.11
ACS Style
Heemel Saha; Md. Sharfuddin Ahmed; A. K. M. Mosharraf Hossain; Md. Atiqur Rahman. Experience of First 250 Cases of Tube Thoracostomy Under Thoracic Surgery Unit of BSMMU, Dhaka, Bangladesh. Int. J. Cardiovasc. Thorac. Surg. 2021, 7(6), 59-63. doi: 10.11648/j.ijcts.20210706.11
AMA Style
Heemel Saha, Md. Sharfuddin Ahmed, A. K. M. Mosharraf Hossain, Md. Atiqur Rahman. Experience of First 250 Cases of Tube Thoracostomy Under Thoracic Surgery Unit of BSMMU, Dhaka, Bangladesh. Int J Cardiovasc Thorac Surg. 2021;7(6):59-63. doi: 10.11648/j.ijcts.20210706.11
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Download@article{10.11648/j.ijcts.20210706.11,
author = {Heemel Saha and Md. Sharfuddin Ahmed and A. K. M. Mosharraf Hossain and Md. Atiqur Rahman},
title = {Experience of First 250 Cases of Tube Thoracostomy Under Thoracic Surgery Unit of BSMMU, Dhaka, Bangladesh},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {7},
number = {6},
pages = {59-63},
doi = {10.11648/j.ijcts.20210706.11},
url = {https://doi.org/10.11648/j.ijcts.20210706.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20210706.11},
abstract = {Background: The most commonly performed surgical procedure in thoracic surgery is Tube thoracostomy. General surgeons, intensivists, emergency physicians, and respiratory physicians may at one time or the other be required to perform tube thoracostomy as a lifesaving procedure. Objective: To observe experience of tube thoracostomy under thoracic surgery unit of BSMMU, Dhaka, Bangladesh. Methodology: This was a prospective, descriptive study conducted at thoracic surgery unit of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Study duration was from 02.12.2018 to 01.10.2021, total 2 years and 10 months. All patients of all age group such as from 2 years of age to 93 years of age those who underwent Tube thoracostomy under thoracic surgery unit were included in the study. All the data were collected for age, sex, occupation, indications of tube thoracostomy, post procedural complications & hospital stay. Results: 250 patients of different pathologies related to chest underwent tube thoracostomy during this period. Mean age was 47.53 years SD± 2.15; minimum age was 2 years and maximum age was 93 years. Among them 173 (69.2%) were male and 77 (30.8%) were female. Male to female ratio was 2.24: 1. Pleural effusion was the most common indication of tube thoracostomy which was in 141 (56.4%) patients followed by pneumothorax 21 (11.6%) patients. Regarding the etiology for tube thoracostomy, it was found that Shows in (Figure 2) Routine 219 cases 87.6% and Emergency 31 cases 12.4% (Due to chest trauma following road traffic accident, during CV catheterization, during lung biopsy), which includes 141 (56.4%) patients of pleural effusion, 29 (11.6%) patients of hydro pneumothorax, and 27 (10.8%) patients of empyema thoracic. Postoperative complications were recognized in 8 patients in shows (Figure 6). It includes Surgical site infection in 5 (2.0%) patients and accidental withdrawal of chest tube by patient himself 3 (1.2%) had dislodged. In 56.0% cases chest drain tube was removed within 7 days (Table 3). Chest drain tube was always given in “Safety triangle”. All cases were done by local anesthesia (2% lignocaine injection). Mean hospital stay was 15.5 days with the range of 2 to 45 days. Conclusion: Chest tube insertion is the first line treatment for variety of life-threatening chest diseases. This is a safe & effective procedure with 3.2% post procedural complications which is comparable to international literature.},
year = {2021}
}
TY - JOUR T1 - Experience of First 250 Cases of Tube Thoracostomy Under Thoracic Surgery Unit of BSMMU, Dhaka, Bangladesh AU - Heemel Saha AU - Md. Sharfuddin Ahmed AU - A. K. M. Mosharraf Hossain AU - Md. Atiqur Rahman Y1 - 2021/11/17 PY - 2021 N1 - https://doi.org/10.11648/j.ijcts.20210706.11 DO - 10.11648/j.ijcts.20210706.11 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 59 EP - 63 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20210706.11 AB - Background: The most commonly performed surgical procedure in thoracic surgery is Tube thoracostomy. General surgeons, intensivists, emergency physicians, and respiratory physicians may at one time or the other be required to perform tube thoracostomy as a lifesaving procedure. Objective: To observe experience of tube thoracostomy under thoracic surgery unit of BSMMU, Dhaka, Bangladesh. Methodology: This was a prospective, descriptive study conducted at thoracic surgery unit of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Study duration was from 02.12.2018 to 01.10.2021, total 2 years and 10 months. All patients of all age group such as from 2 years of age to 93 years of age those who underwent Tube thoracostomy under thoracic surgery unit were included in the study. All the data were collected for age, sex, occupation, indications of tube thoracostomy, post procedural complications & hospital stay. Results: 250 patients of different pathologies related to chest underwent tube thoracostomy during this period. Mean age was 47.53 years SD± 2.15; minimum age was 2 years and maximum age was 93 years. Among them 173 (69.2%) were male and 77 (30.8%) were female. Male to female ratio was 2.24: 1. Pleural effusion was the most common indication of tube thoracostomy which was in 141 (56.4%) patients followed by pneumothorax 21 (11.6%) patients. Regarding the etiology for tube thoracostomy, it was found that Shows in (Figure 2) Routine 219 cases 87.6% and Emergency 31 cases 12.4% (Due to chest trauma following road traffic accident, during CV catheterization, during lung biopsy), which includes 141 (56.4%) patients of pleural effusion, 29 (11.6%) patients of hydro pneumothorax, and 27 (10.8%) patients of empyema thoracic. Postoperative complications were recognized in 8 patients in shows (Figure 6). It includes Surgical site infection in 5 (2.0%) patients and accidental withdrawal of chest tube by patient himself 3 (1.2%) had dislodged. In 56.0% cases chest drain tube was removed within 7 days (Table 3). Chest drain tube was always given in “Safety triangle”. All cases were done by local anesthesia (2% lignocaine injection). Mean hospital stay was 15.5 days with the range of 2 to 45 days. Conclusion: Chest tube insertion is the first line treatment for variety of life-threatening chest diseases. This is a safe & effective procedure with 3.2% post procedural complications which is comparable to international literature. VL - 7 IS - 6 ER -
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