A Case Report of Primary Malignant Pulmonary Melanoma.

We operated on primary malignant melanoma of the lung, attaching the pericardium, diaphragm, and parietal pleura. A 48-year-old female was admitted to our hospital because of persistent dyspnea and cough. A preoperative computed tomography of the chest revealed 3 lesions in the right lung and a mass on the diaphragm between the right lung's lower lobe and heart.

Symmetrical excessive pectus excavatum in children.

Objectives: The indications for repair of pectus excavatum are controversial. We present our surgical results in children with severe pectus excavatum.

Methods: 27 children aged 6-15-years were included in the study.

Current surgical therapy for bronchiectasis: surgical results and predictive factors in 86 patients.

Background: This study retrospectively evaluated the surgical indications and outcomes of 86 patients with bronchiectasis.

Methods: Between 2000 and 2013, the clinical and surgical specifications as well as follow-up results of patients with bronchiectasis were reviewed. Cystic and cylindric morphologic features were determined by chest computed tomography and hemodynamics (perfused and nonperfused), by lung ventilation/perfusion scans.

Multiple cystic pulmonary chondroid hamartomas colonized by Aspergillus species: report of a case.

Pulmonary hamartoma is the most common benign neoplasm of the lung, but the cystic form is very rare. This report presents the case of a 31-year-old woman with two cystic pulmonary lesions. She was radiologically and clinically diagnosed to have multiple ruptured hydatid cysts, and underwent a thoracotomy.

Thoracotomy in Thoracic Injuries: Results from a Tertiary Referral Hospital.

Introduction: Critically injured patients may require thoracotomy after a thoracic injury. This study is a retrospective analysis of the results of thoracotomy in patients with thoracic injury.

Materials And Methods: Injured patients with detectable signs of life on arrival at the hospital and who underwent thoracotomy within 4 h of the injury were investigated.

Predictors of mortality within three months in the patients with malignant pleural effusion.

Background: Malignant pleural effusion (MPE) has a limited life expectancy (3-12 months). We investigated the predictors of the early mortality (EM) within three months.

Methods: The patients were retrospectively grouped according to the death within three months (Group I) and survival more than three months (Group II).

Surgical treatment of intrathoracic hydatid disease: a 5-year experience in an endemic region.

Purpose: To present our recent surgical experience in treating patients with intrathoracic hydatidosis.

Methods: This study reviewed the files of patients with pulmonary/intrathoracic extrapulmonary hydatid cysts treated surgically between 2003 and 2009. Demographic, laboratory and radiological data, clinical manifestations, site of the cyst, surgical approaches, and final outcome were noted and analyzed.

Clinical and surgical specifications of adult unilateral diaphragmatic eventration according to their aetiology in 28 patients. Importance of using diaphragmatic patch and minimal thoracotomy incision.

Objective: This study aims to determine the differences among various diaphragmatic eventration (DE) aetiologies and to compare the outcomes of the operation relative to the use of a diaphragmatic patch.

Methods: Between 2003 and 2009, 28 patients with a DE who underwent surgery were classified according to the following aetiology: (a) previous operation or disease, (b) congenital/idiopathic and (c) trauma. Patients who received diaphragmatic patches during their operations (plication+patch, P/P, 19 cases) were compared with the patients receiving sole plication during the operation (P, 9 cases).

Case report: mediastinal hydatid cysts.

Although the intrathoracic location is common for hydatid cyst, chest-wall, mediastinal, pericardial, myocardial, fissural and pleural-space locations have been reported. The incidence of mediastinal involvement is 0.1-0.

Case report: secondary pleural hydatidosis.

Hydatid cyst has a predilection to locate in liver, lungs, and brain. Intrathoracic extrapulmonary locations are generally the mediastinum, pleura, pericardium and chest wall. Pleural involvement usually follows the rupture of a pulmonary or hepatic cyst inside the pleural space causing secondary pleural hydatidosis.

Esophageal foreign bodies under cricopharyngeal level in children: an analysis of 1116 cases.

Esophageal foreign bodies (FBs) in children are a commonly seen complaint that can cause severe morbidity. Different methods are used for their extraction. We reviewed our cases and described direct extraction technique.

Unilateral post-traumatic pulmonary contusion: findings of a review.

Purpose: There is still much controversy regarding the optimal treatment for pulmonary contusion. Therefore, we examined the variables affecting patient outcomes over a 10-year period.

Methods: We retrospectively reviewed 107 consecutive patients with a mean age of 28 years, who were treated for pulmonary contusion during a 10-year period.

Blunt thoracic trauma in children: review of 137 cases.

Objective: Thoracic injuries are uncommon in children and few report present on blunt ones.

Methods: Between 1994 and 2003, 137 children with blunt thoracic injury were reviewed.

Results: The mean age of children was 6.

[Flail chest due to blunt trauma: clinical features and factors affecting prognosis].

Background: We evaluated the clinical features of patients with flail chest, together with treatment results, and the factors affecting prognosis.

Methods: The study included 34 patients (27 males, 7 females; mean age 41 years; range 15-61 years) who underwent treatment for flail chest. A retrospective analysis was made regarding the etiology, injury to the chest wall, pulmonary contusion, hemothorax and pneumothorax requiring chest tube, associated injuries, injury severity score (ISS), the presence of shock on admission, the amount of blood transfusions within the first 24 hours, treatment, and the results.

Open fixation in flail chest: review of 64 patients.

The strategy for treatment of flail chest remains controversial. Various alternatives were assessed by reviewing the records of 64 patients treated from 1991 through 2000. Patients were classified according to therapeutic approach: group 1 was 27 patients who underwent open fixation of the fractured ribs, group 2 was 19 patients managed by intermittent positive-pressure ventilation, and group 3 was 18 patients managed mainly by synchronized intermittent mandatory ventilation.

Pneumonectomy in children for destroyed lung and the long-term consequences.

Objectives: Destroyed lung introduces irreversible changes in lung parenchyma. This condition is uncommon in children. Operative intervention is essential for children in this state.

Thoracic firearm injuries in children: management and analysis of prognostic factors.

Objective: Thoracic firearm injuries (TFI) have become increasingly prevalent in children. Our purpose is to assess the injury pattern, Injury Severity Score (ISS), length of hospital stay (LOS), management and outcome of children with TFI with respect to the type of injury and to evaluate the value of ISS for predicting injury severity and the eventual need for thoracotomy, as well as the rate of morbidity and mortality.

Methods: Between January 1987 and June 2002, 110 children (88 boys and 22 girls) View Article and Find Full Text PDF

Surgical treatment of thoracic outlet syndrome: effect and results of surgery.

Background: Because of the difficulty in diagnosis and different treatment options, debate on thoracic outlet syndrome (TOS) has continued. Our aim is to report our surgical experience.

Methods: Forty-seven patients with thoracic outlet syndrome were operated on between 1985 and 2000.

Foreign body aspiration in children: experience of 1160 cases.

Hospital records of 1160 children View Article and Find Full Text PDF

Surgical treatment of post-traumatic tracheobronchial injuries: 14-year experience.

Objective: Tracheobronchial injuries have different clinical pictures and high mortality unless aggressive treatment is used. We reviewed our surgical experience.

Methods: The records of 32 patients from 1988 to 2002 were reviewed.

Purulent pericarditis in childhood: ten years of experience.

Background/purpose: Purulent pericarditis is a rapidly fatal disease if left untreated. This article describes our experience with diagnosis and management of 18 patients seen over a 10-year period.

Methods: Eighteen children with purulent pericarditis were treated in our clinics between 1990 and 2000.

Management of multiloculated empyema thoracis in children: thoracotomy versus fibrinolytic treatment.

Objective: Progression of empyema, with the development of fibrinous adhesions and loculations, makes simple drainage difficult or impossible. The appropriate management remains controversial. Intrapleural fibrinolytic treatment to facilitate drainage of loculated empyema instead of open thoracotomy has been advocated recently.

Ruptured hydatid cysts of the lung in children: clinical review and results of surgery.

Background: Rupture of a hydatid cyst may cause some unique problems, especially in children.

Methods: Sixty-three children with a total of 68 ruptured lung hydatid cysts were operated on between 1980 and 2000. Mean age was 12.