Rib fractures still remain a common problem in blunt thoracic trauma, often resulting significant acute and/or chronic morbidity and mortality. The management of rib fractures has improved over the past two decades, resulting in overall improved patient outcomes. With advances in surgical stabilization of rib fractures (SSRF), improvements in regional analgesia, and the introduction of intercostal nerve cryoablation, patient outcomes from rib fractures have improved significantly over the past several years. This article explores the indications and technique for SSRF as well as discusses additional therapeutic modalities for rib fractures through regional anesthesia and intercostal nerve cryoablation.
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http://dx.doi.org/10.1016/j.sipas.2022.100089 | DOI Listing |
Surg Pract Sci
September 2022
University of California, Division of Trauma, Burns & Surgical Critical Care, 333 City Blvd West, Suite 1600, Irvine, Orange, CA, 92868, United States.
Responsible for approximately 35% of all trauma-related deaths in the United States, thoracic trauma is one of the leading causes of death among trauma patients. Furthermore, traumatic rib fractures represent the most frequently encountered injury following thoracic trauma with mortality rates ranging from 8% among the elderly to 13% for patients with a flail chest. This manuscript reviews the history of SSRF as well as the contributions of the pioneering surgeons who championed this treatment.
View Article and Find Full Text PDFSurg Pract Sci
September 2022
Division of Trauma, Emergency General Surgery and Critical Care Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Rib fractures still remain a common problem in blunt thoracic trauma, often resulting significant acute and/or chronic morbidity and mortality. The management of rib fractures has improved over the past two decades, resulting in overall improved patient outcomes. With advances in surgical stabilization of rib fractures (SSRF), improvements in regional analgesia, and the introduction of intercostal nerve cryoablation, patient outcomes from rib fractures have improved significantly over the past several years.
View Article and Find Full Text PDFCureus
December 2024
Anesthesiology, Rhode Island Hospital, Brown University, Providence, USA.
Acute pain service was consulted for acute pain management in a 40-year-old male who had sustained multiple bilateral rib fractures following a fall injury. In addition to the rib fractures, the patient had also experienced injuries to his lungs and spinal column, both of which required surgeries. Considering the significant nature of pain due to his rib fractures, a multimodal pain management approach that included both pharmacological and non-pharmacological strategies was utilized.
View Article and Find Full Text PDFQuant Imaging Med Surg
January 2025
School of Computer Science and Technology, Changchun University of Science and Technology, Changchun, China.
Background: Accurate segmentation of rib fractures represents a pivotal procedure within surgical interventions. This meticulous process not only mitigates the likelihood of postoperative complications but also facilitates expedited patient recuperation. However, rib fractures in computed tomography (CT) images exhibit an uneven morphology and are not fixed in position, posing difficulties in segmenting fractures.
View Article and Find Full Text PDFAesthetic Plast Surg
January 2025
Division of Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740-2º andar, Vila Clementino, São Paulo, SP, Brazil.
Introduction: Rib resection and remodeling have gained attention as cosmetic procedures to enhance body contours, particularly waist-to-hip ratio. Historically, rib resection has been used for medical reasons; however, plastic surgeons have recently adopted it for aesthetic purposes. However, concerns remain regarding the safety and effectiveness of the procedure, particularly due to the potential for complications, such as pneumothorax, chronic pain, and impaired respiratory function.
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