2 doctors weighed in:

When to thoracotomy when videothoracoscopy with hemothorax.If there are recommendations, please give a link to the article.

2 doctors weighed in

In brief: Either

Acute hemothorax may be solved with a chest tube alone.
If not then video assisted vats may suffice. If it persists and is thick and not draining, then either vats may allow adequate visualization and suction drainage of the clot. Some chronic thick, stuck clots may require open thoracotomy and decorticating of the fibrous peel. Articles over the years and in trauma and military's.

In brief: Either

Acute hemothorax may be solved with a chest tube alone.
If not then video assisted vats may suffice. If it persists and is thick and not draining, then either vats may allow adequate visualization and suction drainage of the clot. Some chronic thick, stuck clots may require open thoracotomy and decorticating of the fibrous peel. Articles over the years and in trauma and military's.
Dr. Creighton Wright
Dr. Creighton Wright
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Dr. Tony Ho
Internal Medicine - Infectious Disease

In brief: Depends

This greatly depends on the situation and indication for the procedure.
In general, you do the less invasive procedure whenever feasible; however, if the lesion is too large, if the hospital doesn't have the appropriate facilities, or if the surgeon is not comfortable with the technique, they will default to the older thoracotomy. Discuss with your doctor.

In brief: Depends

This greatly depends on the situation and indication for the procedure.
In general, you do the less invasive procedure whenever feasible; however, if the lesion is too large, if the hospital doesn't have the appropriate facilities, or if the surgeon is not comfortable with the technique, they will default to the older thoracotomy. Discuss with your doctor.
Dr. Tony Ho
Dr. Tony Ho
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