Choice of incision in penetrating XXXX : Which one must we prefer: Thoracotomy or sternotomy?

@entity1 @entity651 @entity299
BACKGROUND: Penetrating @entity299 are high-risk, high-mortality injuries considering the outcomes. Therefore, it is important to choose the appropriate incision. In general clinical settings, thoracotomy and median sternotomy are choices of incisions to explore the injury. In this study, the results of median sternotomy and thoracotomy in penetrating @entity299 were compared. METHODS: Between January 2003 and December 2013, forty @entity1 , who underwent either thoracotomy or median sternotomy for penetrating @entity299 , were retrospectively analyzed, and the collected data were compared. Twenty-six @entity1 underwent thoracotomy (Group 1), and fourteen @entity1 underwent median sternotomy (Group 2). RESULTS: There was no statistically significant gender difference between the groups. However, the mean age in Group 2 was found to be significantly higher than the one in Group 1 (p<0.05). CONCLUSION: There were no significant survival differences between the groups in the long term. Incision choice should be determined considering the site of injury and whether there is an accompanying @entity651 or not. On the other hand, thoracotomy has some draw backs compared to median sternotomy.
