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Thoracic duct injury after decortication of lung, new technique to repair thoracic duct in this challenging situation: A case report.
Asian Cardiovasc Thorac Ann
July 2021
Internal Medicine, Chettinad Hospital and Research Institute, Kanchipuram, India.
Chylothorax is a rare form of pleural effusion that can be associated with both traumatic and non-traumatic causes. Very few patients respond to conservative line of therapy. Thoracic duct ligation is often the treatment of choice in post-surgical patients; however, the optimal treatment of this disease process after traumatic injury remains unclear.
View Article and Find Full Text PDFManagement of pleural empyema with a vacuum-assisted closure device and reconstruction of open thoracic window in a patient with liver cirrhosis.
Arch Bronconeumol
October 2013
Servicio de Cirugía Torácica, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, IMSS, D.F., México. Electronic address:
The patient is a 21-year-old female, diagnosed with cryptogenic cirrhosis at the age of 9. She presented with left post-pneumonic empyema that did not remit with conventional medical management and evolved with fistulization to the skin in the 7th intercostal space in the left subscapular region. We performed an open thoracic window procedure, and on the 6th day the patient was sent home with a portable vacuum-assisted closure device, with changes of the material every 4 days until the cavity was completed obliterated (92 days).
View Article and Find Full Text PDFA distinctive feature of pneumonia in influenza A (H1N1) is interstitial infiltration of lung tissues and high frequency of pulmonary lesions leading to acute lung injury/acute respiratory distress syndrome in half of the patients. Severe clinical course of the disease and complications (pleuritis, abscess, pulmonary thromboembolism) diagnosed by X-ray were recorded in 29% of the patients. The final X-ray examination revealed normalization of the lung structure only in 15.
View Article and Find Full Text PDFPost-traumatic empyema: aetiology, surgery and outcome in 125 consecutive patients.
Injury
September 2013
University of Maryland Medical System, R Adams Cowley Shock Trauma Center, United States.
Introduction: Empyema remains a potentially serious condition with multiple etiologies including post-pneumonic, post-resection, and post-traumatic. There are few studies describing the latter. We reviewed our experience at a high volume trauma centre in injured patients with empyema, examining pre-operative status, surgical procedures, pathogens and outcome.
View Article and Find Full Text PDFOpen window thoracostomy: modern update of an ancient operation.
Thorac Cardiovasc Surg
June 2010
Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA.
Introduction: In modern day thoracic surgical practice, better understanding of the pathophysiology of intrathoracic infections, improved antibiotic therapy and advancements in thoracic surgical techniques have decreased the use of procedures such as open window thoracostomy (OWT). Despite this, there are occasions where OWT cannot be avoided, and it is of interest where its current utility lies. To determine the current efficacy of OWT, we reviewed our recent experience with a focus on the indications, timing of surgery, effectiveness in clearing infection, patient survival, and timing of closure.
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