Keywords
Postoperative drainage
Rib fracture
Internal fixation
Submitted : 2024-08-28
Accepted : 2024-09-12
Published : 2024-09-27
Abstract
Objective: To explore the application value of disposable grooved negative pressure drainage tubes in rib fracture incision and internal fixation. Methods: Seventy-five patients admitted to our Department of Trauma Surgery from June 2022 to April 2024 who underwent rib fracture osteotomy and internal fixation were selected. According to the types of drainage tubes left in the patients after the operation, they were divided into the observation group (35 cases who were left with disposable grooved negative pressure drainage tubes) and the control group (40 cases who were left with closed silicone thoracic drainage tubes). Comparison of chest drainage, pain, postoperative complications, secondary chest penetration rate, drain placement time, hospitalization time, and treatment costs were compared between the two groups. Results: The total postoperative chest drainage volume of the observation group was less than that of the control group (P < 0.05); the degree of pain, the incidence of postoperative complications, and the rate of secondary chest puncture in the observation group were lower than that of the control group three days after the operation (P < 0.05); and the time of drain placement in the observation group was shorter than that of the control group (P < 0.05). Conclusion: The application of disposable grooved negative pressure drainage tubes in rib fracture incision and internal fixation can significantly improve patients’ postoperative pain and discomfort, reduce complications, lower the rate of secondary chest penetration, promote patients’ postoperative recovery, decrease the amount of postoperative chest drainage, and shorten the time of drain placement, which is worthy of clinical promotion and application.
References
Kong L, Huang G, Yi Y, et al., 2021, Chinese Consensus on Surgical Treatment of Traumatic Rib Fractures (2021). Chinese Journal of Trauma, 37(10): 865–875.
He W, Yang Y, Wu W, et al., 2019, Chest Wall Stabilization (CWS) in China: Current Situation and Prospect. J Thorac Dis, 11(Suppl8): S1044–S1048.
Chen W, Zheng R, Baade PD, et al., 2016, Cancer Statistics in China, 2015. CA Cancer J Clin, 66(2): 115–132.
Xu H, Fang X, Xuan J, et al., 2022, A Clinical Study of Minimally Invasive Internal Fixation on Lung Function in Patients with Multiple Rib Fractures. Zhejiang Journal of Traumatic Surgery, 27(1): 35–36.
Zhang L, Feng S, Wang Z, et al., 2020, Effect of Thoracic Drainage Combined with Central Venous Catheter Drainage on Postoperative Rehabilitation of Patients Undergoing Thoracoscopy-Assisted Internal Fixation of Rib Fractures. China Practical Medicine, 15(9): 4–6.
Chen X, Wang J, Zhao J, et al., 2018, Surgery, 9th Edition, People’s Medical Publishing House, Beijing, 248.
China Chest Injury Research Society, 2023, Chinese Consensus on Diagnosis and Treatment of Traumatic Rib and Sternal Fractures. Chinese Journal of Thoracic and Cardiovascular Surgery, 39(09): 513–530.
Shi J, Fan M, Chen Y, et al., 2019, Effect of Negative Pressure Drainage Through Chest Incision on Postoperative Complications of Rib Fracture Internal Fixation. Chinese Journal of Disaster Medicine, 7(01): 57–58.
Xiong M, Hu W, Lou Q, et al., 2019, Efficacy of Nickel-Titanium Memory Alloy in the Treatment of Multiple Rib Fracture Combined with Sternal Fracture. Experimental and Therapeutic Medicine, 18(1): 537–542.
Beeres FJ, Diwersi N, Houwert MR, et al., 2021, ORIF Versus MIPO for Humeral Shaft Fractures: A Meta-Analysis and Systematic Review of Randomized Clinical Trials and Observational Studies. Injury, 52(4): 653–663.
Zhang Y, 2022, Effect of Video-Assisted Thoracoscopic Precise Positioning Reduction and Internal Fixation on the Effect Combined with Lung Function of Patients with Chest Trauma Combined with Rib Fracture. Laboratory Medicine and Clinic, 19(7): 921–924.
Madabushi R, Tewari S, Gautam SK, et al., 2015, Serratus Anterior Plane Block: A New Analgesic Technique for Post-Thoracotomy Pain. Pain Physician, 18(3): E421–E424.
Wang J, 2022, Analysis of the Drainage Effect of Different Drainage Methods After Single-Port Thoracoscopic Radical Resection of Lung Cancer, dissertation, Xinjiang Medical University.
Huang H, 2019, Evaluation of the Effect of Targeted Nursing Intervention on Pain Relief in Patients with Multiple Rib Fractures. Today Nurse, (6): 83–84.
Xing Z, Liu W, Xia W, et al., 2021, Effect of Single Thoracic Drainage Tube Combined with Negative Pressure Drainage Tube After Radical Resection. Progress in Modern Biomedicine, 21(3): 533–536.
Liu R, 2022, Comparison of the Curative Effect of Two Placement Methods of Single Chest Tube After Single-Port Thoracoscopic Radical Resection for Lung Cancer, dissertation, Nanchang University.
Geng H, Yang X, Wei S, et al., 2021, Analysis of Risk Factors of Pulmonary Complications in Patients with Rib Fracture. Shanxi Medical Journal, 50(3): 404–405.
Wen P, 2020, Effect of Standardized Pain Nursing Management on Pain of Rib Fracture Patients in Perioperative Period. Chinese Journal of Trauma and Disability Medicine, 28(2): 73–74.
Mammarappallil JG, Anderson SA, Danelson KA, et al., 2015, Estimation of Pleural Fluid Volumes on Chest Radiography Using Computed Tomography Volumetric Analysis: An Update of the Visual Prediction Rule. Journal of Thoracic Imaging, 30(5): 336–339.
Adler Y, Charron P, Imazio M, et al., 2015, 2015 ESC Guidelines for the Diagnosis and Management of Pericardial Diseases. Eur Heart J, 36(42): 2921–2964.
Zhou H, 2019, Clinical Application and Observation of Two Different Caliber Closed Thoracic Drainage Tubes. Qinghai Medical Journal, 49(4): 50–52.
Xia S, 2021, Application Value of One-Off Groove Negative Pressure Drainage Tube in Thoracoscopic Lobectomy. Contemporary Medicine, 27(34): 156–158.
Cao J, Li F, Zhou Y, et al., 2017, Effect of Timely Squeezing of Chest Tube on Patients After Thoracoscopic Lung Surgery. Journal of Nursing (China), 24(22): 58–60.