Cirugía y Cirujanos. 2015; 83(1): 23-28

CIRUGÍA y CIRUJANOSÓrgano de difusión científica de la Academia Mexicana de Cirugía

Fundada en 1933

www.amc.org.mx www.elservier.es/circir

0009-7411/© 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

ORIGINAL ARTICLE

☆

a, b c, a a a

a Servicio de Cirugía General, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, Méxicob Servicio de Oncocirugía, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, Méxicoc Servicio de Ortopedia, Instituto de Salud del Estado de México y Municipios, Centro Médico Ecatepec, México

Received 10 February 2014; accepted 1 September 2014

☆Please cite this article as: Nolasco-de la Rosa A. L. et al. Fijación de tórax inestable con placas y tornillos bioabsorbibles. Presentación de serie de casos. Cirugía y Cirujanos. 2015; 83: 23-28.

*Corresponding author:

E-mail address:

Flail chest; Bio-absorbable screws and plates

AbstractBackground: -

they must be operated to improve lung ventilatory mechanics and cleaning. Little has been pub-

Material and methods:

Results:--

Conclusions:

2444-0507

24 A. L. Nolasco-de la Rosa et al.

Hormaechea and Lardinois et al.10 recommended the use

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trauma. They observed less damage to pulmonary tissues

sup--

--

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lead to mechanical instability .The bioabsorbable LactoSorb®20 material is the only mate-

rial proven to be absorbed or to disappear in a year or less.

-nium plates regarding malleability. The initial strength de-

-ness have been proven in both children and adults20. The

1 is responsi-

-2-4 -

considerably raises the mortality rate . It was believed

-

. The capillary lesion produces an

-

-

trauma -ditioned by the accepted physiopathology in every stage;

oriented in that sense13-15 used internal

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the patient18 -

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Tórax inestable; Placas y tornillos bioabsorbibles Antecedentes: El tórax inestable se maneja con ventilación mecánica o inhaloterapia y analge-

sia. Los pacientes ventilados mecánicamente tienen los riesgos de la ventilación misma y se

Material y métodos:-

parse tanto en adultos como niños. Se presenta un estudio descriptivo de pacientes con tórax

Resultados:

hasta el momento ha presentado reacción al material.Conclusiones:

and two patients had a cranial tomography. Other studies -

The bioabsorbable LactoSorb®20 material was chosen as it is the only material proven to be absorbed or to disappear in

--

has been reported.

An axillary mid-line incision was made in all patients. When

an axillary incision in dorsal recumbent position (Fig. 2) -

holes were drilled using a tap and the bioabsorbable plates --

ral tube was placed. In those patients who already had the

-tween the costal arches and muscles. Fat tissue and skin

-ticipation in the ventilatory mechanics. Only 4 patients

-proximately 12 months; the implant is sensitive to tissue

-

reported20.Little has been published in the medical literature on rib

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-

-

study conducted at Instituto de Salud del Estado de México

--

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with bilateral sternocostoclavicular dislocation.

A. L. Nolasco-de la Rosa et al.

-

-

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Six patients were diabetic and two had chronic hyper-tension. All patients were metabolic and haemodynami-

between 1 and 21 days (patients who were operated at day -

(Fig. 3) with bilateral axillary incision in dorsal recumbent

recumbent position; an axillary incision was made with an-terior and posterior dissection (Fig. 4); the patient who presented bilateral sternocostoclavicular dislocation un-

There were no deaths during the study; there was a --

--

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--

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that bioabsorbable plates would be implanted on them. The study was submitted to the Ethics and Research Committee

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and bilateral sternoclavicular dislocation; another patient

-sented associated moderate to severe head injury and one

-

cardiac contusion.-

tory tract and assuring ventilation by placing an endopleural

-

attributable to the material used.

-

administered and complementary oxygen was provided

time was at least 15 more days (in contrast with those who -

-

associated with pain and alterations in the respiratory me--

tion with a bioabsorbable material that does not need to

reactions.

-mental institution.

tice ventilatory exercises and the patient’s capacity to expectorate improved; the heart rate and respiratory rate

-

the postoperative period.Patients were assessed (Fig. 4): a thorax teleradiography

areas where discrete costal separation was observed due

using bioabsorbable material without any problems. In the

severity is related to underlying pulmonary and myocardial

the patients must be conducted to determine who will be

decision to withdraw this complementary treatment at the earliest convenience to avoid greater complications.

abdominal injuries and those with severe head injury

management without ventilatory support was possible and

-

-

--

materials.

-eral sternocostoclavicular dislocation are observed.

28 A. L. Nolasco-de la Rosa et al.

10.

11.

12.

13.

14.

15. -

-mericana; 2000. p. 505.

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18.

Hormaechea E. Traumatismos torácicos. En: Esteban de la -

20. -

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2. ---

3. --

4. -

5. -

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8. -