Surgical management of thoracic impalement injuries in sub-Saharan Africa: A three-case series from Benin.

Thoracic impalement injuries remain rare but dramatic, and represent a major challenge in low-resource settings. We report the successful surgical management of three male patients, aged 22 to 56 years, treated managed at our tertiary center in Benin between June 2022 and March 2023. Two cases involved isolated thoracic impalement, and one involved a thoracoabdominal injury. This case series illustrates the complexity of managing these traumas in the sub-Saharan context and underscores the pressing need to improve technical infrastructure and improved access to emergency thoracic care.