Popis: |
Rupture of a bronchus is now a well recognized complication of severe chest trauma. The incidence of this complication has increased in the last 20 years mainly due to increased car accidents. 1 Kinsella and Johnsrud 2 in 1947 reviewed the world literature on this subject and collected 40 cases, none of which was treated by restoration of continuity. Griffiths 3 in 1949 was the first to report a successful repair of a torn bronchus by end-to-end anastomosis. Since then a number of reports of primary repaired avulsed bronchus have been published. 4-9 The most notable was that of Samson, 10 who restored the continuity of a divided bronchus 15 years after the injury. Hood and Sloan 11 were able to collect 98 cases including seven of their own. This increased incidence reflects not just a simple increase, but also that the thoracic surgeons are more aware of this complication. |