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Surgery for chronic pyothorax after failed amplatzer closure of bronchopleural fistula.
J Cardiothorac Surg
January 2025
Department of Thoracic and Vascular Surgery, and Lung Transplantation, Marie-Lannelongue Hospital, Le Plessis-Robinson, France.
Background: Post-pneumonectomy bronchopleural fistula (BPF) is a life-threatening event whose treatment is not standardized.
Case Presentation: We report the management of a 28-year-old patient with a 3-year history of BPF complicating right pneumonectomy for congenital emphysema. Despite closure by an Amplatzer device, the patient had chronic pyothorax and severely deteriorated general health and quality of life.
Ureteral access sheath or percutaneous nephrostomy during flexible ureteroscopy: which is better?
Urolithiasis
January 2025
Urology Department, Benha University, Benha, Qalubia, Egypt.
Studies in literature discussed the drawbacks of the ureteral access sheath use in flexible ureteroscopy and in the same time mentioned the benefits of ureteral access sheath in decreasing the incidence of urosepsis and better stone free rate. In the current study we aim to compare between percutaneous nephrostomy tube (PCN) insertion before flexible ureteroscopy and conventional ureteral access sheath (UAS) flexible ureteroscopy in terms of safety, efficacy and perioperative outcomes. In all, 100 Patients aged 20 to 67 years with upper ureteric stones and mild hydronephrosis or renal pelvic stones less than 20 mm with mild hydronephrosis were randomized into 2 groups; patients undergoing PCN insertion before flexible ureteroscopy, and patients undergoing the conventional UAS flexible ureteroscopy.
View Article and Find Full Text PDFPediatric laparoscopic versus percutaneous gastrostomy tube placement: a single-center review.
Pediatr Surg Int
December 2024
Department of Surgery, Emory School of Medicine, Atlanta, GA, USA.
Article Synopsis
- - The study compares the outcomes of two gastrostomy tube placement techniques—laparoscopic (LAP) and percutaneous endoscopic (PEG)—in pediatric patients, focusing on complications and the need for additional procedures.
- - Researchers reviewed records of 688 patients aged 0-18 who had GT placements, finding that LAP patients were generally younger and lighter than PEG patients, but both groups had similar rates of major complications.
- - Results showed that PEG patients had a higher likelihood of developing skin infections, while no LAP placements failed during the study period, indicating potential advantages of LAP over PEG in certain aspects.
Tracheostomy in children with mucopolysaccharidosis: A systematic review.
Int J Pediatr Otorhinolaryngol
December 2024
Department of Otorhinolaryngology, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy; Department of Otorhinolaryngology, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. Electronic address:
Article Synopsis
- Tracheostomy can be necessary for children with mucopolysaccharidosis (MPS) due to challenging airways, and this review focuses on its indications, surgical details, complications, and outcomes.
- A systematic review of 9 studies involving 34 children with MPS undergoing tracheostomy showed common indications included airway obstruction and failed intubation, with MPS II being the most prevalent type.
- Although tracheostomy can be effective for maintaining airway patency, complications are common and a multidisciplinary approach is recommended to minimize risks and manage care effectively.
Tracheal Resection for Post-intubation/Post-tracheostomy Tracheal Stenosis.
Thorac Surg Clin
February 2025
Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, KY, USA.
Post-intubation and post-tracheostomy tracheal stenoses are relatively uncommon common complications of prolonged intubation. Patients with tracheal stenosis usually present with stridor and dyspnea once a significant portion of their airway is compromised. Tracheal resection and reconstruction offer durable treatment options for these patients with minimal risk once initial endoscopic treatment has failed.
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