Rib Fracture Multiple, Rib Fractures
Conditions
Keywords
internal fixation, video-assisted, chest wall stabilization, prospective study
Brief summary
The purpose of this study is to compare the advantages and disadvantages of video-assisted rib planting and traditional internal fixation of rib fractures in chest wall stabilization. The investigators design a new surgical method of video-assisted thoracoscopic surgery for rib fractures, evaluate the advantages and disadvantages of the new surgical techniques with a prospective study.
Interventions
PROCEDUREvideo-assisted rib planting
Give the patient intercostal nerve block and laryngeal mask anesthesia, after that, put the patient in lateral position. Make a 4-6cm posterolateral incision along the lower edge of the scapula，sever latissimus dorsi and serratus anterior and reach the rib surface. Lift the scapula with the abdominal retractor (or xiphoid retractor), Free adhesion tissue inside the scapula and put in the thoracoscopic lens. Free the tissue of the upper and lower edges of the ribs carefully, reset ribs and insert rib plate, which is fixed by 90° electric drill and locking screw.
Sponsors
Weigang Zhao
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
-≥3 unilateral rib displacement fractures * 18-70 years old * ASA score I-II * Preoperative arterial oxygen partial pressure \>60mmHg * Carbon dioxide partial pressure \<50mmHg
Exclusion criteria
* The distance from the broken end of the posterior rib fracture to the spine is less than 2cm * Airway stenosis * Abnormal coagulation system * History of peptic ulcer or bleeding * History of allergy to anesthesia related drugs * History of asthma or chronic obstructive pulmonary emphysema * Pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The pain score after operation | 6 hours after operation | The investigators evaluate and record the patients' pain score after operation by visual analog scale (VAS)，which is used to evaluate pain scores 6h,12h,and 24h after the operation. 0-10 is used to represent different degrees of pain, 0 is painless and 10 is severe pain. The grading criteria of pain were: 0: no pain; 1-3: mild pain; 4-6: moderate pain; 7-10: severe pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The postoperative drainage | 7 days at most | The investigators record the postoperative drainage of patients.The drainage of chest catheter or negative pressure ball was recorded by the nurse every day after surgery. Less postoperative drainage means faster recovery and shorter discharge times. |
Other
| Measure | Time frame | Description |
|---|---|---|
| The length of incision | During surgery | The investigators record the length of operative incision. |
| The intraoperative bleeding | During surgery | The investigators record the intraoperative bleeding of patients. |
| The treatment costs | from the date of hospitalization to the date of leave hospital,assessed up to 100 months | The investigators record the treatment costs and calculate per capita treatment costs of patients,which is recorded and counted at the time of discharge. Total treatment costs include hospitalization, treatment, surgery, medications, and other related expenses. |
| The operation time | During surgery | The investigators record patients' operation time duration. |
| Days of stay hospital | from the date of hospitalization to the date of leave hospital,assessed up to 100 months | Days of stay hospital |
Countries
China
Outcome results
None listed