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Chest Wall

January 4, 2016
This retrospective single-center study evaluated outcomes of patients treated for flail chest using open reduction and fixation (ORIF) or non-operative management (NOM).  The 41 ORIF and 45 NOM patients were similar in demographics and injury severity.  Hospital and ICU LOS were longer in the ORIF group.  The ORIF group also trended towards longer ti
November 11, 2015
A prospective evaluation of patients suffering minor thoracic injuries was performed to assess functional impact at 90 days.  One-third had at least 1 rib fracture and 12% had a delayed hemothorax.  23% had severe or moderate disabilities at 90 days, which was more common among those with more severe injuries.  Outcomes were unrelated to age.
November 2, 2015
This video demonstrates a thoracoscopic uniportal en bloc resection performed on a 65-year-old female patient.
October 1, 2015
This single institution study evaluated patients with traumatic rib fracture treated with rib fixation vs medical management; patients were propensity score matched.  RF pts experienced a lower incidence of re-intervention for retained hemothorax, a lower incidence of empyema, and a lower incidence of readmision.
September 8, 2015
This video shows a simple trick for covering a radionecrosis wound with the omentum.
June 29, 2015
This video shows a minimally invasive repair of a pectus excavatum through a periareolar incision.
June 2, 2015
This video shows a uniportal VATS surgery to evacuate a hematoma in a 78-year-old woman.
April 9, 2015
This article offers an overview of the evolution of thoracic drainage and development of the modern chest tube from ancient Greece to the present time.
March 27, 2015
The authors evaluated a simple scoring system for assessing sternal healing after sternotomy.  Observers had close agreement as to how CT findings matched the scoring system.  There was no attempt at correlating CT findings with clinical results.  Healing scores increased over time, indicating some correlation with biologic behavior.
February 21, 2015
The meta-analysis by Kowalewski et al found that implantable gentamicin collagen sponges significantly reduced the incidence of sternal wound infections by nearly 40%. 

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