Best approach in thoracic trauma is
.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
Midline sternotomy
Parasternal thoracotomy
Anterolateral thoracotomy
Posterolateral thoracotomy
Cardio thoracic surgery  