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Results At first pulmonary ventilation was started and thoracocentesis with draining were performed. Then 4 rib osteosynthesis using Matrix Rib, thoracoscopy with sanation of hemothorax and suturing of diaphragm, and osteosynthesis of clavicle have been done. After operation patient was 36 hours on assisted ventilation. There were no complications in postoperative period. Patient was discharged from hospital in satisfactory condition on 14th day after operation. Conclusions Synchronous repair of injured organs of chest is indicated procedure for it prevents many severe complications including respiratory insufficiency.

Simultaneous rib osteosynthesis and thoracoscopic suturing of diaphragm at patient with severe chest trauma and respiratory insufficiency