A Case of Tension Subcutaneous Emphysema Treated With Minimally Invasive Open-Window Thoracostomy Using a Wound Protector/Retractor and Three-Sided Taping.

Autor: Mizuuchi H; Department of Thoracic Surgery, Shimonoseki City Hospital, Shimonoseki, JPN., Masuno T; Department of Respiratory Medicine, Oita Red Cross Hospital, Oita, JPN., Hata M; Department of Respiratory Medicine, Oita Red Cross Hospital, Oita, JPN., Ito K; Department of Thoracic Surgery, Oita Red Cross Hospital, Oita, JPN., Kouso H; Department of Thoracic Surgery, Oita Red Cross Hospital, Oita, JPN.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 May 08; Vol. 16 (5), pp. e59920. Date of Electronic Publication: 2024 May 08 (Print Publication: 2024).
DOI: 10.7759/cureus.59920
Abstrakt: Subcutaneous emphysema is a common complication of thoracic surgery. Tension subcutaneous emphysema that causes airway obstruction is rare but life-threatening. This report presents a patient who developed tension subcutaneous emphysema after recurrent secondary pneumothorax surgery which was treated with minimally invasive open-window thoracostomy. A wound protector/retractor and three-sided taping were successfully used to prevent air from entering the subcutaneous space via the wound while draining trapped air without creating an open pneumothorax. This approach is an option for managing subcutaneous and intrathoracic air leakage in emergency situations.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Mizuuchi et al.)
Databáze: MEDLINE