Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “THORACOPLASTY”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 973 records · Page 54Linked to original sources
PubMed1999

[Home mechanical ventilation as a treatment of the sequelae of tuberculosis surgery].

Nasal intermittent positive-pressure ventilation (NIPPV) has been showed useful for the treatment of chronic respiratory failure in patients with chest wall diseases due to sequelae of tuberculosis. We present a report of a patient with a thoracoplasty and a cavernostomy in situation of chronic respiratory failure. Nasal intermittent positive pressure ventilation improved diurnal hypoxaemia and hypercapnia.

Aged↗
PubMed1999

Esophagopleural fistula originating from diverticulum after pneumonectomy. A case report and review of the literature.

Esophagopleural fistula (EPF) is a very rare and fatal disease. A 56 year-old man developed a pyothorax resulting from an EPF with esophageal diverticulum after a right pneumonectomy. The patient was successfully treated with a three-stage operation and control of infection and nutritional status. First, fenestration was performed, then an ante-thoracic gastroplasty, and a radical thoracoplasty was performed. Surgical management, nutritional support, and control of infection were the cornerstones of the treatment of EPF.

Diagnosis, Differential↗
PubMed2001

[Mitral valve replacement 41 years after right pneumonectomy].

Mitral valve replacement was performed successfully on a 68-year-old patient who had undergone right pneumonectomy and thoracoplasty 41 years earlier. Preoperative pulmonary function tests revealed poor results; the forced vital capacity was 950 ml (28.0% of the predicted value) and the forced expiratory volume in 1 second was 750 ml (28.9% of the predicted value). Despite such poor pulmonary function, the patient tolerated the operation well and led uneventful course. Careful perioperative management to prevent pulmonary edema and aggressive postoperative pulmonary toilet to facilitate recovery of the pulmonary function seem important.

Aged↗
PubMed2002

[Surgical treatment of chronic nonspecific empyemas].

Approximately 4% to 20% of all acute empyema turn into chronic empyema despite the up-to-date complex treatment. The authors report their results of the surgical treatment of 38 patients with chronic nontuberculous empyema within a 5 years period. The age of the patients range from 18 to 72 years and they include 26 men and 12 women. Twenty eight were treated by thoracotomy and decortication, 7 underwent video-assisted thoracoscopy and decortication, and 3 thoracoplasty. In one of the patients a latissimus dorsi muscle flap was used.

Adolescent↗
PubMed2003

[Clinical experience of gelatin-resorcin-formal (GRF) glue for acute empyema with bronchopleural fistula].

Gelatin-resorcin-formal (GRF) glue is a new biological adhesive agent with the advantage of sealing efficacy. We report a successful closure of bronchopleural fistula using this agent. A 77-year-old man underwent cavernostomy for lung aspergillosis. After surgery, he developed methicillin-resistant staphylococcus aureus (MRSA)-empyema with bronchopleural fistula. Thoracoplasty and muscular plombage were performed for filling up the cavity and closure of bronchial fistula. But the fistula relapsed 3 days after surgery. GRF glue was injected into the residual cavity, then air-leakage was completely disappeared with tight adhesion of cavity wall. We consider this agent is useful material for the closure of bronchopleural fistula.

Acute Disease↗
PubMed1956

Surgical treatment of pulmonary tuberculosis; a decade of change.

To observe trends in the surgical therapy of pulmonary tuberculosis, the records of patients treated during the last ten years at the Tuberculosis Division of the San Diego County General Hospital (Vauclain Home) were reviewed. In this decade, a chemotherapeutic revolution permitted more patients to be treated with fewer beds, lower mortality and shorter hospitalization. Pneumoperitoneum has replaced other forms of temporary collapse. Pneumothorax, phrenic nerve interruption and pneumonolysis have been abandoned in favor of extraperiosteal plombage, particularly in older, poor risk patients. The use of permanent collapse measures as definitive treatment has decreased, thoracoplasty and extrapleural pneumothorax having been virtually abandoned. The use of resection in patients with permanent collapse failure, residual cavities, bronchostenosis and destroyed lobes or lungs has become common, and good results have been obtained.

Humans↗
PubMed1992

[A successfully treated case of empyema with a large tracheal fistula after a radical operation of esophageal cancer by fixation and plombage with major pectoral muscle flap].

We reported a successfully treated case of empyema with a large tracheal fistula which had developed after a radical operation of esophageal cancer (reconstructed with stomach). This 59-year-old male was treated by the method of fixation and plombage with major pectoral muscle flap and thoracoplasty, because we could not use the omentum that were frequently used nowadays for closure of the fistula. The size of the tracheal fistula was a large as the main bronchus bronchoscopically. Postoperative care were the following, the endotracheal tube was inserted from the tracheal stoma to the left main bronchus and 9 days left hemi-ventilation was performed. Continuous suction was performed at the same time from the right main bronchus in order to prevent secretion and blood pour into the left lung. Bronchoscopical examination done 28 postoperative day, the small fistula remained the tip of the muscle flap. But 72 postoperative day, the surface of the fixed muscle flap was replaced by normal bronchial mucomembrane and tracheal fistula was obliterated. Major pectoral muscle could be used as local flap to obliterate empyema cavity associated with tracheal fistula. We believe that utilizing an muscle flap for those who had undergone abdominal operation like our case is a valuable method.

Empyema↗
PubMed2003

[Efficiency of a new method for extrapleural plastic repair of the apex of the lung in disseminated destructive tuberculosis].

The Thoracic Department, Yarutsk Research Institute of Tuberculosis, has developed a new method for extrapleural plastic repair of the apex of the lung in destructive tuberculosis. The essence of the method is that pneumolysis of the apex of the lung and its bringing down is made by the well-known procedure described by L. K. Bogush after thoracoplasty. To prevent its expanding, the apex of the lung is fixed by a hammock mesh prepared before surgery. For this, No. 2 polysorb thresh is used and a 10 x 14-cm mesh is woven. The cells measure 2 x 2 cm. Then the mesh is placed in disinfectant solution. Surgery was performed in 41 patients with generalized fibrocavernous, disseminated, cavernous, and infiltrative pulmonary tuberculosis, by yielding 90.3% efficiency. The developed operation may be used during a non-stabilized tuberculous process, anterior and upper lung destructions and in the presence of a giant cavity in the lung tissue. The time course of changes in the indices of external respiratory function is indicative of a more rapid and qualitative recovery of the external respiratory apparatus and of a rapid adaptation of compensatory respiratory mechanisms in the postoperative period.

Adolescent↗
PubMed2004

[The diagnosis and surgical treatment for 56 cases with pulmonary and pleural aspergillosis].

OBJECTIVE: To summarize the experience of diagnosis and surgical treatment for pulmonary and pleural aspergillosis. METHODS: The clinical data of cases with pulmonary and pleural aspergillosis were analyzed retrospectively between September 1972 and June 2003. There were 53 cases with pulmonary aspergillosis and 3 cases with pleural aspergillosis. Aspergillus was found preoperatively in 8 patients by sputum culture (5 cases) or needle biopsy of the lung (2 cases) or fibro-bronchoscopic biopsy (1 case). All patients were treated with surgical procedures following X-ray film or CT scan. RESULTS: Of 53 cases with pulmonary aspergillosis, 42 lobectomies, 3 segment-Pneumonectomies, and 8 wedge resections were performed. Of three cases with pleural aspergillosis following eliminating their diseased foci in residual pleural space, two underwent thoracoplasty, one underwent postoperative closed chest drainage for one and an half month with fluconazole injected into residual pleural space repeatedly for 1 month (200 mg/100 ml, 1 time per 2 or 3 days). No operative death and major postoperative complications occurred. None of the patients had recurrent symptoms at follow-up. CONCLUSION: We recommend aggressive surgical resection for pulmonary and pleural aspergillosis, and the surgical result is excellent.

Adult↗
PubMed2004

Operative treatment of postpulmonectomy empyema.

OBJECTIVE: To analyse retrospectively 10 patients with postpulmonectomy empyema. METHODS: Ten patients (9 men, 1 woman, aged 48 to 69 years) with postpulmonectomy empyema treated over a 12 year period (1991--2002) were analysed. Nine of the patients had pulmonectomy for lung carcinoma and one--for pulmonary abscess. All postpulmonectomy empyemas were managed in two stages--an open-window thoracostomy for curing the infective process in the empyema cavity and then closure of the bronchopleural fistulas and obliteration of the cavity. Video-assisted thoracoscopy (VATS) was successfully used by the authors for sterilization and debridement of the cavity, and finally to insert two thoracic drains for the cavity lavage. The obliteration of the empyema cavity was achieved by a vascular muscle flap transposition from the thoracic muscles. The latissimus dorsi muscle flap was used in 6 patients. The pectoralis major muscle flap was used in 4 patients. Additionally, a thoracoplasty was performed in the patients with pectoralis major muscle flap transposition. RESULTS: Eight patients (80%) were discharged from hospital without complications, and two patients died (20%). CONCLUSIONS: On the basis of the study results and the literature review the authors conclude that the applied therapy yields good results in the treatment of postpulmonectomy empyema.

Aged↗
PubMed2005

[Pulmonary hemorrhages of different etiology: diagnosis and treatment].

Hemorrhage is one of the most pressing problems in lung diseases. The paper analyzes the results of medical and surgical treatments for pulmonary hemorrhages. A total of 724 patients with hemoptysis and bleedings of various etiology were treated at the Thoracic Unit in 1985-2003. Pulmonary hemorrhages occurred in 442 (61%) patients with pulmonary tuberculosis and in 282 (39%) patients with nonspecific lung diseases. X-ray study revealed right-sided lung lesions in 268 (37%) patients; left-sided lung lesions in 203 (28%), bilateral lesions in 170 (23.5%). The visible X-ray changes were not found in 83 (11.5%) patients. Destructive pulmonary parenchymal changes were detected in 366 (50.5%) patients. Bronchological study was conducted in 703 patients with pulmonary hemorrhage: 377 (53.7%) and 214 (30.4%) patients were found to have its direct and indirect signs, respectively. Neither changes nor hemorrhagic traces were detected in 112 (15.9%) patients since they underwent bronchoscopy in a later period when bleeding had already stopped. Foam rubber sponge tamponade of the main and lobar bronchi was made in 75 (10.4%) patients with profuse bleeding; a positive effect was achieved in 61 (81.3%) patients. The treatment policy for pulmonary hemorrhage is determined by its severity and etiology and the health status of the patient. A major role was assigned to medical hemostatic therapy in the treatment of pulmonary hemorrhages. If it was ineffective, surgical treatment was used. The use of hypotension controlled by ganglionic blockers (more commonly pentamine): bleedings were suppressed in 359 (74%) of 485 patients with second- and third-degree hemorrhages yielded good results. They were medically stopped in 558 (77%) patients; death occurred in 14 (2.4%) cases. A hundred and fifty two (20.9%) were operated on; of them 8 patients underwent segmentectomy; 85 had lobectomy. Pulmonectomy, cavernostomy, and thoracoplasty were performed in 48, 4, and 7 patients, respectively. Twenty-six patients were operated on at the peak of hemorrhage. Bleedings were suppressed in 140 (92%) patients (they recovered; 12 (7.9%) patients died. In the postoperative period different complications were noted in 30 (19.7%) patients. The final results of medical and surgical treatment were as follows: bleedings were stopped in 698 (96.4%) patients (they recovered) and 26 (3.6%) died.

Adolescent↗
PubMed2005

[Application of simultaneous surgeries in patients with extended pulmonary tuberculosis].

The treatment of extended pulmonary tuberculosis, resistant to antibacterial preparations, constitutes extremely complex problem. The author proposes to apply simultant pulmonary resection and intrapleural thoracoplasty, the simple one or extended, for the treatment of those patients. There were studied up the results of treatment of 401 patients, simultant interventions were used in 134. Analysis of the data obtained permits to consider the operation as the curative-prophylactic one. The indications for application of every variant of intervention were determined, what have had significantly increased the possibilities of treatment of extended pulmonary tuberculosis.

Adult↗
PubMedDate not supplied

[Continuous epidural ropivacaine analgesia in adolescents].

The paper deals with the efficiency of postoperative analgesia after thoracoplasty in 43 adolescents with the funnel chest. Within the first 64-72 postoperative hours, the patients received a continuous epidural infusion of 0.2% ropivacaine solution at a rate of 0.3 ml/kg/hr. Analyses of hemodynamic parameters and the pain scale demonstrated the efficiency of this postoperative analgesia in 74.4% of the adolescents.

Adolescent↗
PubMed1991

[Differentiated approach to the method of sternum stabilization in surgical treatment of funnel chest in children].

Experience in surgical treatment of 186 patients with funnel chest deformity (FCD) is generalized. With consideration for the great variety of the forms of deformity of the plastron, simple and complicated forms of FCD are distinguished. The simple forms include isolated, symmetrical, low (beginning from the level of the fourth rib) II-III degree deformities, the complicated forms include wide, II-III degree deformities beginning from the level of the second rib, and flat asymmetrical deformities. The use of a metal plate as a stabilizer in complicated forms of FCD is suggested. The optimal method of treatment in simple forms of the deformity is thoracoplasty with fixation of the sternum in the corrected position by means of a nitinol clip.

Adolescent↗
PubMed1991

[Anesthesiologic and postoperative complications in children with isolated forms of funnel chest].

In thoracoplasty for isolated funnel-shaped deformity of the chest in children, the main anesthesiologic complications which develop are the following: delayed restoration of muscular tonicity and adequate respiration and disorders in cardiac rhythm. At the postoperative period, the complications, are mainly caused by injury to parietal pleura at intervention. The pulmonary, cardiac, gastroenterologic and hemorrhagic complications were observed less often.

Adolescent↗
PubMedDate not supplied

[Surgical treatment of tuberculosis and its modifications--collapse therapy and resection treatment and their present-day sequelae].

Surgical treatment of tuberculosis is now largely a thing of the past. After it had been realized that a tuberculous lung process can be cured by shrinkage, i.e. by reducing the volume of both the lung and the thorax, attempts were made to actively promote such shrinkage processes by means of suitable measures. The so-called collapse therapy was initiated by the Italian physician Forlanini in 1888. By pumping air into the free cavity of the pleura the diseased lung as brought into a state of dosed collapse so that infiltrative and cavernous processes could heal with scar formation. However, application of a pneumothorax was prevented by pleural processes that occurred frequently during the course of a disease, especially also as sequels to pleuritis. The operative alternative was an attempt to achieve lung collapse by surgery. Thus the idea was born to enable lung collapse by mobilising the external thoracic wall, i. e. by means of rib resection: this principle was known as thoracoplasty. A little later, attempts were made to circumvent such a crippling intervention by surgically detaching the lung "on target" over the diseased area and by filling the cavity created in this manner, with air to produce a so-called "extrapleural pneumothorax". Lung surgery advanced rapidly after intubation anaesthesia developed since 1945. It was now possible to remove isolated diseased parts of the lung, so that the collapse therapy receded more and more to the background. Side by side with this development of new surgical procedures drug treatment of tuberculosis made rapid progress.(ABSTRACT TRUNCATED AT 250 WORDS)

Antitubercular Agents↗
PubMed1990

[Immunologic disorders in children with developmental thoracic defects].

As the result of immunological examination of 21 children with developmental defects of the chest and analysis of the course of the postoperative period in 136 children, among which 36 had hereditary syndromes of systemic connective-tissue dyshistogenesis, it was found that suppurative complications of thoracoplasty, which are encountered in 15% of children with isolated developmental chest defects and in 33.3% of those with the above mentioned syndromes, were caused to a great measure by disorders of the immune status. The most serious immunological deviations were encountered in the Marfan syndrome due to impaired phagocytic activity of neutrophils and monocytes, decreased number of T, T active, and B lymphocytes, and diminished function of T helpers. In unclassified complexes of developmental defects with Marfaneic ++ phenotypes, the immunological disorders were similar, but less deep. In the Ehlers-Danlos syndrome, a decrease of the number of immunocompetent cells, function of T helpers, and neutrophils was mainly revealed. In isolated forms of funnel chest the function of monocytes and the number of immunoglobulins are mainly decreased.

Adolescent↗
PubMed1990

[Surgical treatment of destructive pulmonary tuberculosis].

Total pneumonectomy combined with thoracoplasty should be applied to tuberculosis-destructed lungs unresponsive to anti-TB treatment, of which the clinical symptoms are evident and both the maximum ventilation and vital capacity are 50% of the estimated values, and in which no organic disorders of the heart are found on examination. But for those below the age of 18, or with the left lung destructed alone, obvious left deviation of the mediastinum, relatively smaller residual cavity on the left side and negative sputum, simple total pneumonectomy should be considered. Postoperative care to improve the resistance of the respiratory system and to prevent recurrent infection is of significance to better long-term response.

Adolescent↗