Urgencias de cirugía torácica
- R. Peñalver Pascual 1
- L. Huerta Martínez 1
- D. Rincón García 1
- L. Martín-Albo Caballero 1
-
1
Hospital General Universitario Gregorio Marañón
info
ISSN: 0304-5412
Année de publication: 2015
Titre de la publication: Urgencias (II): Urgencias respiratorias
Serie: 11
Número: 88
Pages: 5264-5273
Type: Article
D'autres publications dans: Medicine: Programa de Formación Médica Continuada Acreditado
Résumé
The chest surgical emergencies are a common pathology in any tertiary hospital. The treatment of pneumothorax and pleural effusion as leading exponents of urgent pleural pathology and surgical management by inserting intrathoracic drainage are reviewed in this chapter. The mediastinitis is classified according to their etiology in postoperative secondary to esophageal perforation and acute descending necrotizing mediastinitis after peridentales oropharyngeal infections and abscesses. The open and closed chest injuries are the cause of high morbidity and mortality in the population, the most common affecting the chest wall, representing the sternum and rib fractures the most common expression, with significant incidence of surgery for hemothorax and even less often more severe traumatic injuries in the trachea and bronchi and major thoracic vessels.
Références bibliographiques
- García MD, Genovés M, León P. Drenaje torácico. En: Guijarro R, Gon-zález F, Sebastián F, editores. Manual de Urgencias en Cirugía Torácica. 1a ed. España: SECT; 2011. p. 18-26.
- López M, Jiménez R, Gallardo G, Cózar F, Carmona P, Moreno S, et al. Drenajes Pleurales. En: Guijarro R, Deu M, Álvarez A, editores. Patología de la pleura. 1a ed. España: Panamericana; 2013. p. 107-12.
- Cantó A. De tubos, frascos, conexiones y aspiraciones. Drenajes torácicos. 1a ed. España: Respira-Fundación española del pulmón-SEPAR; 2014.
- De Hoyos A, Fry WA. Pneumothorax. En: Shields TW, editor. General thoracic surgery. 17a ed. Malvern: Williams and Wilkins; 2009. p. 739-61.
- Ribet M. Positions operatoires. En: Ribet M, editor. Chirurgie thoracique générale. París: Manson; 1989.
- Normativa sobre el diagnóstico y tratamiento del derrame pleural. Nor-mativa SEPAR. 2014;41:79.
- Light RW. Trastornos de la pleura y el mediastino. En: Longo DL, Kas-per DL, Jameson JL, Fauci AS, Hauser SL, Loscalzo S, editores. Harrison Principios de Medicina Interna. 18ª ed. Vol. 2; Capítulo 263. Madrid: McGraw-Hill; 2012.
- Normativa sobre el diagnóstico y tratamiento del neumotórax espontá-neo. Normativa SEPAR. Arch Bronconeumol. 2008;44(8):437-48.
- MacDuff A, Arnold A, Harvey J. Management of spontaneous pneu-mothorax: British Thoracic Society pleural disease guideline 2010. Tho-rax. 2010;65:1118-31.
- Van Natta TL, Lannettoni MD. Acute necrotizing mediastinitis. En: Pat-terson GA, Pearson FG, Cooper JD, Deslauriers J, Rice TW, Luketich JD, et al, editors. Pearson ́s thoracic and esophageal surgery. 3ª ed. Lon-dres: Churchill Livingstone; 2008. p. 1521-8.
- Khalpey ZI, Ganim RB, Rawn JD. Postoperative care of cardiac surgery patients. En: Lawrence HC, editor. Cardiac surgery in the adult. 3ª ed. Boston: McGraw Hill; 2008. p. 465-85.
- Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Centers for Disease Con-trol and Prevention (CDC) Hospital Infection Control Practices Advi-sory Committee. Am J Infect Control. 1999;27:97-132.
- Schuhmacher HB, Mandelbaum I. Continuous antibiotic irrigation in the treatment of infection. Arch Surg. 1968;86:54-7.
- Yu AW, Rippel RA, Smock E, Jarral OA. In patients with post-sternotomy mediastinitis is vacuum-assisted closure superior to conventional thera-py? Interact Cardiovasc Thorac Surg. 2013;17(5):861-5
- Sjogren J, Gustafsson R, Nilsson J, Malmsjo M, Ingemansson R. Clinical outcome after poststernotomy mediastinitis: vacuum-assisted closure ver-sus conventional treatment. Ann Thorac Surg. 2005;79:2049-55.
- Mills C, Bryson P. The role of hyperbaric oxygen therapy in the treatment of sternal wound infection. Eur J Cardiothorac Surg. 2006;30:153-9.
- Martínez P, Espinosa D, Hernández L, Triviño A. Mediastinitis. Arch Bronconeumol. 2011;47Supl8:32-6.
- Arrabal R, Benítez A, Fernández de Rota A, Fernández JL. Mediastinitis. En: Fernández Fau L, Freixenet Gilart J, editors. Tratado de cirugía torá-cica. Madrid: Editores Médicos; 2010. p. 1869-84.
- Sanz Álvarez L, Navarrete Guijosa F, González González J. Perforación esofágica. En: Parrilla Paricio P, Landa García J, editors. Cirugía AEC. Madrid. Panamericana; 2010. p. 255-8.
- Estrera AS, Landay MJ, Grisham JM, Sinn DP, Platt MR. Descending necrotizing mediastinitis. Surg. Gynecol. Obstet. 1983;157:545-52.
- Endo S, Murayama F, Hasegawa T, Yamamoto S, Yamaguchi T, Sohara Y, et al. Guideline of surgical management based on diffusion of descending necrotizing mediastinitis. Jpn J Thorac Cardiovasc Surg. 1999;47(1):14-9.
- Min HK, Choi YS, Shim YM, Sohn YI, Kim J. Descending necrotizing mediastinitis: a minimally invasive approach using video-assisted thora-coscopic surgery. Ann Thorac Surg. 2004;77:306-10.
- Chen KC, Chen JS, Kuo SW, Huang PM, Hsu HH, Lee JM, et al. Des-cending necrotizing mediastinitis: a 10-year surgical experience in a sin-gle institution. J Thorac Cardiovasc Surg. 2008;136:191-8.
- De la Torre M, Quero F, Moreno N. Manual de urgencias en cirugía torá-cica. 2ª ed. Madrid: Sociedad Española Cirugía Torácica; 2015.