Best approach in thoracic trauma is: (A) Midline sternotomy, (B) Parasternal thoracotomy, (C) Anterolateral thoracotomy, (D) Posterolateral thoracotomy
Answer is C. .Indications for thoracotomy * Haemothorax more than 1500 ml found when ICT is placed or hourly collection in ICT is 200- 300 ml * ICT placed shows persistent drainage of blood * Diaphragmatic injury * When associated with liver and spleen injuries * Bronchus and major vessel injuries * Haemopericardium * Oesophageal and thoracic duct injuries. ref:SRB&;s manual of surgery,ed 3,pg no 1061