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Lung India. 2019 Jul-Aug;36(4):356-359. doi: 10.4103/lungindia.lungindia_225_18.

Medical thoracoscopic cryoevacuation: A novel technique to manage retained hemothorax.

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Department of Pulmonary Medicine, Royal Care Super Speciality Hospital, Coimbatore, Tamil Nadu, India.


Hemothorax is an important complication of blunt trauma chest. The presentation may be delayed, especially in elderly patients with multiple rib fractures. Delayed presentation can be associated with retained hemothorax where a simple chest drain is often insufficient to evacuate the pleural cavity. Video-assisted thoracoscopy surgery is often used to manage such patients in a minimally invasive manner. Here, we demonstrate a novel application of flexi-rigid thoracoscopy with CryoProbe® for evacuation of retained hemothorax in an elderly woman through a subcentimeter incision.


Blunt trauma chest; cryoextraction; medical thoracoscopy; retained hemothorax

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