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Comparing Compensatory Sweating After Video-Assisted Thoracoscopic Sympathectomy: (T2-3) Versus (T2-4) Levels for Treating Palmar Hyperhidrosis.
Cureus
November 2024
Department of Cardiothoracic Surgery, Alexandria University, Alexandria, EGY.
Introduction: Primary hyperhidrosis is a disease that is characterized by excessive sweating beyond what is required to maintain the normal temperature of the body. Moreover, it has a great adverse effect on the life of the affected persons because of problems in their social lives. There are different modalities to treat primary hyperhidrosis, including medical and surgical treatment.
View Article and Find Full Text PDFEvaluation of the safety of drainless uniportal video-assisted thoracoscopic surgery for the treatment of primary spontaneous pneumothorax: a two-institution retrospective study.
J Thorac Dis
October 2024
Department of General Thoracic Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Background: Uniportal video-assisted thoracoscopic surgery (U-VATS) offers good cosmetic outcomes with minimal pain for the treatment of primary spontaneous pneumothorax (PSP). Moreover, the early removal of postoperative chest drains reduces postoperative pain and hospitalization duration for patients with PSP. We aimed to investigate the safety and feasibility of drainless U-VATS in patients with PSP and compare postoperative outcomes between specialists and residents.
View Article and Find Full Text PDFCost-effectiveness and postoperative outcomes of spontaneous mechanical ventilation during video-assisted thoracoscopic surgery: a retrospective study.
J Thorac Dis
October 2024
Department of Anesthesia, Shaoxing People's Hospital, Shaoxing, China.
Article Synopsis
- The study compares the costs and outcomes of two types of video-assisted thoracoscopic surgery (VATS): spontaneous ventilation VATS (SV-VATS) and mechanical ventilation VATS (MV-VATS) at Shaoxing People's Hospital.
- Data from 386 patients revealed similar overall costs between SV-VATS and MV-VATS, but SV-VATS had lower anesthesia-related costs and showed significant advantages in terms of postoperative complications and recovery time.
- Postoperative complications were absent in the SV-VATS group, while the MV-VATS group experienced issues like sore throat and hoarseness, and the time to extubation was quicker in the SV-VATS group (4 min vs. 10
Application of OFA-based ERAS for video-assisted thoracoscopic surgery in elderly patients with airway stenosis: A case report.
Medicine (Baltimore)
April 2024
Department of Anesthesiology, People's Hospital of Wanning, Wanning Hainan China.
Article Synopsis
- The practice of performing thoracic surgery without general anesthesia dates back to World War I, aimed at minimizing opioid use to reduce adverse effects like respiratory issues and nausea during and after surgery.* -
- A 72-year-old male patient with multiple serious lung and rib injuries underwent surgery using a combination of opioid-free general anesthesia and epidural anesthesia, avoiding intubation due to tracheal compression from a thyroid tumor.* -
- After the surgery, the patient experienced a quick recovery, regaining consciousness within minutes, and had minimal pain with no complications during follow-up, demonstrating the effectiveness of this anesthesia approach.*
Intraoperative high flow oxygen therapy for tubeless anaesthesia in thoracoscopic surgery.
Rev Esp Anestesiol Reanim (Engl Ed)
February 2024
Departmento de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital San Rafael, A Coruña, Galicia, Spain.
Tubeless anaesthesia has become widespread in videothoracoscopic surgery, even in major procedures such as lobectomies. There are several advantages in avoiding general anaesthesia and one-lung mechanical ventilation, such as faster recovery and shorter hospital stays. However, hypoxaemia and hypercapnia are the most reported causes of conversion to general anaesthesia.
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