Dealing with multiple broken ribs is incredibly painful, often making it hard to breathe deeply or rest comfortably. Doctors have long used two main ways to stabilize these bones: open fixation and thoracoscopic fixation, which uses a smaller scope. New data comparing these methods suggests that the less invasive approach offers several benefits for patients.
By looking at 751 patients, researchers found that those who had thoracoscopic surgery reported significantly lower pain on day one and day seven after their procedure. These patients also had smaller incisions, lost less blood during surgery, and spent fewer days in the hospital. While the time it took to perform the operation was about the same for both methods, the thoracoscopic group saw fewer cases of pleural effusion, which is a buildup of fluid around the lungs.
It is important to note that these findings come from a mix of study types, including several observational studies. Because of this variety and some inconsistencies in the data, researchers say we still need more rigorous trials to be certain of the results. Talk with your doctor about which surgical method is best for your specific injury.