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The rare thoracic complication: perforation of gastric fundus ulcer: a case report.
J Med Case Rep
December 2022
Department of Thoracic Surgery, Scientific Research Institute - Ochapovsky Regional Clinical Hospital no. 1, Krasnodar, Russia.
Background: Gastropleural fistula is an exceptionally rare condition, the incidence of which is currently unknown (Kunieda et al. in Intern Med 51(3):331, 2012, https://doi.org/10.
View Article and Find Full Text PDFNecrotizing fasciitis of the chest wall: A clinical case report and literature review.
Exp Ther Med
January 2022
Department of Pneumology, 'Marius Nasta' National Institute of Pneumology, 050152 Bucharest, Romania.
Necrotizing fasciitis of the chest wall is a very rare pathology, but with significant mortality, representing a therapeutic challenge. All international reports indicate the need for early diagnosis and an aggressive medical-surgical attitude in order to improve the prognosis. In addition to a review of literature, we present a case developed secondary to a thoracic pleural drainage for pyopneumothorax associated with significant bronchopleural fistula in a destroyed tuberculous left lung.
View Article and Find Full Text PDF[VIDEO-ASSISTED THORACIC SURGERY USING LOCAL ANESTHESIA IN LUNG ABSCESSES AND PYOPNEUMOTHORAX].
Vestn Khir Im I I Grek
October 2015
The article presents the results of 42 video-abscessoscopies (VAS) in acute and gangrenous lung abscess and 32 video-thoracoscopies (VTS) in pyopneumothorax, which were performed using local anesthesia and sedation. There were several indication to operation: sanation of cavities, removal of necrotic sequestration and fibrin, decollement, biopsy. Perioperative complications developed after 11 surgeries (13%): emphysema of soft tissues of pectoral cells (5), phlegmon of the thorax (3), bronchial hemorrhage (2), pneumothorax (1).
View Article and Find Full Text PDFAwake video-assisted thoracic surgery in acute infectious pulmonary destruction.
Ann Transl Med
May 2015
1 Department of Thoracic Surgery, First Pavlov State Medical University, Saint-Petersburg, Russia ; 2 Department of Thoracic Surgery, City Hospital Nº1, Saint-Petersburg, Russia.
Background: Many of thoracic minimally invasive interventions have been proven to be possible without general anesthesia. This article presents results of video-assisted thoracic surgery (VATS) application under local anesthesia in patients with lung abscesses and discusses its indications in detail.
Methods: The study involved prospective analysis of treatment outcomes for all acute infectious pulmonary destruction (AIPD) patients undergoing VATS under local anesthesia and sedation since January 1, 2010, till December 31, 2013.
Antibacterial therapy is the most important component of the complex management of pyo-destructive forms of LRTI. Since the microbial flora is rather variable and polymorphous, antibiotics used in the treatment of LRTI should be active against both aerobic (especially gramnegative) and anaerobic pathogens. The aim of the study was to prove, on the basis of the bacteriological and clinical findings, the validity of the use of cefoperazone/sulbactam (CS), the only inhibitor-protected cephalosporin, for the monotherapy of patients with LRTI.
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