Evidence map›Paper›PMID 40956399›Full record

ArticleGeneral thoracic and cardiovascular surgery2026

Temporary chest closure and open chest management for severe chest trauma: a retrospective study of 10 cases at a single hospital.

Hiroyuki Kayata, Akihiro Usui, Koki Terakawa, Koichi Inukai, Yu Hashimoto, Fumitaka Kato, Koji Amano, Nobutaka Mukai, Naoki Shinyama, Masanori Morita

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Article in General thoracic and cardiovascular surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Hiroyuki KayataDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan. h.kayata@outlook.jp.ORCID http://orcid.org/0000-0002-8888-1070
Akihiro UsuiDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.
Koki TerakawaDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.
Koichi InukaiDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.
Yu HashimotoDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.
Fumitaka KatoDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.
Koji AmanoDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.
Nobutaka MukaiDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.
Naoki ShinyamaDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.
Masanori MoritaDepartment of Trauma and Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka, 593-8304, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEvidence to establish standardized damage control surgery for severe chest trauma is insufficient. Therefore, we aimed to evaluate the outcomes, complications, effectiveness, and safety of temporary chest closure and open chest management in our hospital.

methodsWe retrospectively reviewed the backgrounds and perioperative outcomes of 10 patients who underwent open chest management with temporary chest closure for severe trauma at our hospital from January 2015 to June 2024 using their medical records.

resultsThe median patient age was 54 years, nine patients had blunt multiple trauma, and one patient had an isolated, penetrating chest injury. All patients had hemorrhagic shock upon arrival: the median chest Abbreviated Injury Scale score and Injury Severity Score were 4.5 and 30, respectively. The initial chest surgery was thoracotomy-based hemostasis for injuries of the chest wall, lungs, heart, and great vessels in six cases, and pulmonary resection for lung injury in four cases; all cases involved open chest management with temporary chest closure after intrapleural gauze packing. The median operative time and intraoperative bleeding was 72 min and 1710 mL, respectively. Seven of the 10 patients survived, with a median open chest management period of 2 days, with no postoperative empyema or wound infection.

conclusionOpen chest management with temporary chest closure for severe chest trauma is useful for the prompt completion of the initial chest surgery and initiation of treatment for concomitant injuries and resuscitation in the intensive care unit.

Indexed as

Hemostatic TechniquesThoracic InjuriesThoracic Surgical ProceduresThoracotomyWound Closure TechniquesWounds, NonpenetratingWounds, PenetratingAdultAgedFemaleHumansInjury Severity ScoreMaleMiddle AgedRetrospective StudiesTime FactorsChest traumaComplicationsDamage-control surgeryDamage-control thoracic surgeryTrauma management

Identifiers

PMID40956399
PMCPMC12957619

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