Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Pan Afr Med J. 2012;11:54. Epub 2012 Mar 22.

Management of penetrating cardiac injuries in the Department of surgery, Mohamed Thahar Maamouri Hospital, Tunisia: report of 19 cases.

Author information

  • 1Department of surgery, Mohamed Thahar Maamouri Hospital, Nabeul, Tunisia.

Abstract

The goal of this paper is to discuss how to ameliorate the management of penetrating cardiac injuries in general surgery department. An algorithm for the initial assessment of penetrating injuries in cardiac box, based on our own experience, is presented. This was a retrospective study of 19 patients undergoing thoracotomy for penetrating cardiac injuries, managed in the department of general surgery of Nabeul-Tunisia, between 1994 and 2010. The mean age of patients was 25 years old. Sex ratio was 8,5. All patients had cardiac injury resulting from stab wounds inside of the pericardium. 42% of them were critically unstable, 21% had cardiac tamponnade. All these patients were quickly transferred to the operating room without any other investigations. 37% of patients were hemodynamically stable and underwent additional investigations. The management of penetrating cardiac injuries is possible in a general surgery department, but it requires a rapid prehospital transfer, a yet thorough physical examination along with efficient surgical management, all done in minimal time.

KEYWORDS:

Cardiac injury; Tunisia; cardiac repair; hemorrhage; stab wounds; tamponnade

PMID:
22593790
[PubMed - indexed for MEDLINE]
PMCID:
PMC3343682
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Pan African Medical Journal Icon for PubMed Central
    Loading ...
    Write to the Help Desk