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At least 1,783 records · Page 99Linked to original sources
PubMed1981

[The postoperative course in 82 cases of bronchiectasis (author's transl)].

After a description of their clinical and radiological characteristics, the authors analyse the postoperative course in 82 cases of bronchiectasis. Whilst the severity of postoperative complications tends to decrease, a large number remains. Long term results were good in 82% of cases but were related to the age of the patients, and the extent of the lesions and the excision. As a result, success is dependent upon the decision concerning the indication for surgery, but also the quality of postoperative surveillance which must be rigorous.

Adolescent↗
PubMed1980

[Indications for the surgical treatment of chronic nonspecific lung diseases in the elderly].

The observations of 37 elderly patients operated on for nonspecific pulmonary diseases have shown that surgery may be successfully used when there are no pronounced aged changes and the respiratory and cardiovascular systems are in satisfactory condition. The postopertive mortality rate equaled 10,8%. After pulmonectomy it was 5,5 times higher than afterportal resection of the lung.

Age Factors↗
PubMedDate not supplied

[Comparative study in the management of pleural effusion].

At the Pediatric Surgery Department of the Hospital de Especialidades of the I.M.S.S. at Puebla, 40 patients with thoracic empyema were studied appreciating some clinical, radiologic and bacteriological variables; they were divided into two groups: 16 cases who had a thoracotomy and decortication and 24 with a conservative management. The hemithorax of the right side was the most affected, and the complications more often seen were the pachypleuritis, pneumatoceles and the persistence of a bronchopleural fistula. The operated group recovered without sequelae, having been hospitalized for 38.9 days average. The second group was discharged around the second week of treatment, without fever or respiratory symptoms even with an "abnormal" X-ray film. Every patient was checked clinically and radiologically every month, noticing, that the pachypleuritis and cysts were disappearing in a progressive way, lasting 6 to 8 months for complete recovery in all of the patients.

Child, Preschool↗
PubMed1980

[Surgical tactics in treating patients with extensive fibrocavernous pulmonary tuberculosis].

The principal idea of the method of surgery is the division of patients into two groups: a group of patients with a stable process and a group of patients with the disease in the stage of non-cupped exacerbation. When using any surgical interventions one should follow the principle of maximum preservation of the functioning lung tissue, the surgery being performed in the size of destructive changes in the lungs. In a unilateral cavernous injury resection of the lung or pneumonectomy was the main method of surgery. In the treatment of patients with bilateral caverns the main line of the surgical tactics is the planned bilateral surgical treatment, individual selection of the optimal combination of different operations, division of the surgical treatment into steps and choice of their sequence.

Drainage↗
PubMedDate not supplied

[New techniques in thoracic surgery. II].

The surgical approach to affections of the chest wall and pleura, still the predominant indications for thoracic surgery, has greatly changed since the advent of thoracoscopic procedures, and is emphasized in this second part of a two-part review, together with other indications for mediastinal tumours. Indicated after lung exeresis or emergency chest surgery, protective chest wall reconstruction with muscular flaps is no longer an exceptional operation. Inversely, thoracic surgery for infectious complications have become less frequent, unusually limited to well established procedures for tuberculosis surgery, treatment of bronchial fistula or mediastinal supperations. The chest cavity is well adapted to new techniques of thoracoscopy and video-assisted thoracic surgery both for diagnosis and treatment. Indications for pleuroscopy have taken on a completely new aspect since 1989. These techniques are used for pericardial fenestration, thoracic sympathectomy for dyshidrosis, vagotomy, splanchnicectomy, chylothorax, spinal affections, empyema and trauma surgery. These new techniques have also had an impact on treatment of spontaneous pneumothorax. For tumour surgery, thoracoscopy has made possible a more adapted strategy currently based on an initial needle biopsy, with limited thoracoscopic exeresis and ultimate treatment depending upon the pathology report. Immediate thoracoscopy without prior biopsy appears excessive. Video-assisted thoracosurgery is also used for most malignant mediastinal tumour which, due to advances in chemotherapy surgery have transformed the prognosis of a large number of mediastinal tumours.

Bronchial Fistula↗