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Introduction: Pain control following Nuss thoracoplasty remains a challenge. Cryoanalgesia of the intercostal nerves has been demonstrated to reduce postoperative pain in these patients. The objective of this study was to understand how and how widely cryoanalgesia is used in pediatric patients undergoing funnel chest surgery in Spain.
View Article and Find Full Text PDFMulti-disciplinary treatment of broncho-esophageal fistula in a high-risk single-lung patient.
J Cardiothorac Surg
January 2025
Section of Cardiothoracic Surgery, Department of Heart Disease, Haukeland University Hospital, Jonas Lies vei 65, 5021, Bergen, Norway.
Background: A broncho-esophageal fistula (BEF) is a medical and surgical disaster. Treatment of BEF is often limited to palliative stent treatment that may migrate or cause erosions and tissue necrosis. Surgical repair of BEF is the only established definite treatment.
View Article and Find Full Text PDFClinical Effects of Intraoperative Use of Tranexamic Acid in Minimally Invasive Scoliosis Surgery for Adolescent Idiopathic Scoliosis.
Clin Orthop Surg
December 2024
Department of Orthopaedic Surgery, Korea University Anam Hospital, Seoul, Korea.
Background: To evaluate the clinical impact of intraoperative tranexamic acid administration in minimizing intraoperative blood loss and transfusion requirements during minimally invasive scoliosis surgery (MISS).
Methods: Consecutive data were collected from 97 patients with adolescent idiopathic scoliosis who underwent MISS between 2021 and 2023. Tranexamic acid was first introduced in June 2022.
Surgical Algorithm of Poland Syndrome Based on Thorax, Breast, and Nipple-areola Complex Classification.
Plast Reconstr Surg Glob Open
November 2024
From the Department of Pediatric Surgery, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Article Synopsis
- Poland syndrome (PS) is a rare congenital condition that primarily affects the pectoralis major muscle and presents several thoracic anomalies, necessitating a classification system and treatment algorithm developed in 2016.
- Between January 2016 and June 2023, 52 PS patients were treated following this algorithm, which included various surgical and conservative procedures; the majority of cases had soft-tissue defects requiring intervention.
- The results demonstrated that after treatment, many patients improved significantly and could be reclassified; the algorithm proved effective, with few complications reported, highlighting the importance of a multidisciplinary approach for adolescents.
RESULTS OF SURGICAL TREATMENT OF PECTUS EXCAVATUM IN CHILDREN AND ADOLESCENTS.
Georgian Med News
October 2024
2Akhmet Yassawi International Kazakh-Turkish University, Turkestan, Kazakhstan.
Unlabelled: Congenital pectus excavatum (PE) takes the first place among the deformation of the chest, accompanied by violations of the cardiorespiratory system and various cosmetic defects. A radical way to eliminate the deformation of the chest is surgical correction-thoracoplasty.
Material And Methods: This study was performed on the results of surgical treatment of 183 patients with various forms of PE at the age of 3 to 18 years.
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