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Items from 1 to 20 out of 548 results

article

Emergency thoracotomy after cardiac arrest from blunt trauma is not always futile

T.M Cook, K Gupta

Resuscitation > 2007 > 74 > 1 > 187-190

We report a case of blunt trauma leading to pulseless electrical activity (PEA) cardiac arrest that was successfully managed with emergency department thoracotomy. While the literature suggests an almost universally poor outcome from this clinical situation, in this case the patient survived with full neurological recovery. Several factors were present in this case, which have been reported as indicating...

article

Mitral valve surgery via repeat median sternotomy versus right mini‐thoracotomy: A systematic review and meta‐analysis of clinical outcomes

Manasi Mahesh Shirke, Nidhruv Ravikumar, Tan Jia Xiang Shawn, Nyasha Mutsonziwa, more

Journal of Cardiac Surgery > 37 > 12 > 4500 - 4509

Background Redo mitral valve surgeries have high mortality and morbidity and can be physically demanding for patients. Median sternotomy remains the gold standard for most cardiac surgeries. To tackle certain risks with a re‐sternotomy, alternative procedures such as the right anterolateral minithoracotomy have been explored. This review aims to compare the clinical outcomes of re‐sternotomy (MS)...

article

Minimally invasive versus conventional aortic valve replacement: The network meta‐analysis

Takuya Ogami, Yujiro Yokoyama, Hisato Takagi, Derek Serna‐Gallegos, more

Journal of Cardiac Surgery > 37 > 12 > 4868 - 4874

Background Outcome comparisons after surgical aortic valve replacement (SAVR) with minimally invasive approaches including mini‐sternotomy (MS) and right mini‐thoracotomy (RMT) and full sternotomy (FS) have been conflicting. Furthermore, the synthesis of mid‐term mortality has not been performed. Methods MEDLINE and EMBASE were searched through April 2022 to identify propensity score matched (PSM)...

article

Cosmetic and shoulder functional outcomes in posterolateral minithoracotomy atrial septal defect closure: A retrospective study

Noriyoshi Ebuoka, Hidetsugu Asai, Yosuke Arai, Junichi Oba, more

Journal of Cardiac Surgery > 37 > 12 > 4797 - 4802

Background And Aim Transcatheter device closure has become the first treatment option for atrial septal defects (ASD). Surgical ASD closure, although still implemented, is cosmetically inferior to transcatheter closure. This study aimed to evaluate the feasibility as well as short‐ and long‐term clinical outcomes of the right posterolateral minithoracotomy approach for surgical ASD closure. Methods...

article

Pulmonary Echinococcus in children: A descriptive study in a LMIC

Lunga Mfingwana, Pierre Goussard, Lizelle Wyk, Julie Morrison, more

Pediatric Pulmonology > 57 > 5 > 1173 - 1179

Background Echinococcus granulosus is a major public health problem in lower middle‐income countries (LMIC). Children are commonly diagnosed with cysts in the lungs and/or the liver. Objectives The purpose of this study was to describe a pediatric cohort diagnosed with pulmonary Cystic Echinococcus (CE) and treated with a combination of medical and surgical therapy. Methods This was a retrospective...

article

Retrospective evaluation of fluid production at the time of thoracostomy tube removal following elective and emergency surgery in dogs (2010–2017): 185 cases

Molly A. Racette, Leslie C. Sharkey, Aaron K. Rendahl, Daniel A. Heinrich, more

Journal of Veterinary Emergency and Critical Care > 32 > 1 > 58 - 67

Objective To report the rate of fluid production at the time of removal of thoracostomy tubes placed intraoperatively and to determine the association of this rate with specific patient factors, surgical factors, or clinical diagnosis. The secondary objective was to determine whether identification of pleural effusion within 2 weeks of thoracostomy tube removal was associated with the same variables...

article

Multimodal opioid‐sparing pain management after lung transplantation and the impact of liposomal bupivacaine intercostal nerve block

Tyler C. Lewis, Kimberly Sureau, Alyson Katz, Anthony Fargnoli, more

Clinical Transplantation > 36 > 1 > n/a - n/a

Opioid analgesics are commonly used post‐lung transplant, but have many side effects and are associated with worse outcomes. We conducted a retrospective review of all lung transplant recipients who were treated with a multimodal opioid‐sparing pain protocol. The use of liposomal bupivacaine intercostal nerve block was variable due to hospital restrictions. The primary objective was to describe opioid...

article

Efficacy of Transcutaneous Electrical Nerve Stimulation for Postoperative Pain, Pulmonary Function, and Opioid Consumption Following Cardiothoracic Procedures: A Systematic Review

Alexis Cardinali, David Celini, Melissa Chaplik, Elizabeth Grasso, more

Neuromodulation: Technology at the Neural Interface > 24 > 8 > 1439 - 1450

Objective Transcutaneous electrical nerve stimulation (TENS) is a minimally invasive method for treating pain. In the most recent review published in 2012, TENS was associated with increased pain relief following cardiothoracic surgery when compared to standard multimodal analgesia. The purpose of this systematic review and meta‐analysis is to determine if adding TENS to current pain management practices...

article

Endoscopic sealing of a chronic bronchopleural fistula using acrylate co‐monomer glue

K. Madsen, M. P. de Bont, K. Palmers

Equine Veterinary Education > 33 > 10 > e376 - e381

A bronchopleural fistula (BPF) consists of a direct communication between the bronchial tree and the pleural space, which can develop secondary to (pleuro) pneumonia. Thoracotomy has been reported as a viable treatment option in cases of nonresponsive pleuropneumonia, pleural abscess formation and necrotising pneumonia. The presence of a BPF can delay and even prevent healing of the thoracotomy site,...

article

Lung ventilation distribution in patients after traditional full sternotomy and minimally invasive thoracotomy: An observational study

Zhanqi Zhao, Tsai‐Ming Yuan, Ya‐Hui Chuang, Yu‐Wen Wang, more

Acta Anaesthesiologica Scandinavica > 65 > 7 > 877 - 885

Background The aim of the study was to examine the post‐operative ventilation distribution changes in cardiac surgical patients after traditional full sternotomy (FS) or minimally invasive thoracotomy (MIT). Methods A total of 40 patients scheduled for FS with two‐lung ventilation or MIT with one‐lung ventilation were included. Ventilation distribution was measured with electrical impedance tomography...

article

Simultaneous versus staged resections for bilateral pulmonary metastases

Hope A. Feldman, Nicolas Zhou, Mara B. Antonoff, Wayne L. Hofstetter, more

Journal of Surgical Oncology > 123 > 7 > 1633 - 1639

Background For patients with bilateral pulmonary metastases, staged resections have historically been the preferred surgical intervention. During the spring of 2020, the COVID‐19 pandemic made patient travel to the hospital challenging and necessitated reduction in operative volume so that resources could be conserved. We report our experience with synchronous bilateral metastasectomies for the treatment...

article

Open chest and pericardium facilitate transpulmonary passage of venous air emboli

Benjamin S. Storm, Per Steinar Halvorsen, Helge Skulstad, Knut Dybwik, more

Acta Anaesthesiologica Scandinavica > 65 > 5 > 648 - 655

Background Transpulmonary passage of air emboli can lead to fatal brain‐ and myocardial infarctions. We studied whether pigs with open chest and pericardium had a greater transpulmonary passage of venous air emboli than pigs with closed thorax. Methods We allocated pigs with verified closed foramen ovale to venous air infusion with either open chest with sternotomy and opening of the pleura and...

article

Analysis of the positional relationship of the long thoracic nerve considering clinical treatment

Jehoon O, Hyun‐Jin Kwon, Tae‐Hyeon Cho, Sung‐Yoon Won, more

Clinical Anatomy > 34 > 4 > 617 - 623

Introduction The long thoracic nerve (LTN) has a risk of being damaged during chest surgery and should be considered when performing anesthesia such as a serratus anterior plane block (SAPB). We analyzed the relationship between landmarks—the fourth to ninth intercostal space (ICS) at the midaxillary line (MAL), through which the distal part of the LTN passes—and the LTN. Materials and methods...

article

Thoracoscopy vs thoracotomy for the management of metastatic osteosarcoma: A Pediatric Surgical Oncology Research Collaborative Study

Timothy B. Lautz, Zishaan Farooqui, Todd Jenkins, Todd E. Heaton, more

International Journal of Cancer > 148 > 5 > 1164 - 1171

Complete surgical resection of pulmonary metastatic disease in patients with osteosarcoma is crucial to long‐term survival. Open thoracotomy allows palpation of nodules not identified on imaging but the impact on survival is unknown. The objective of this study was to compare overall survival (OS) and pulmonary disease‐free survival (DFS) in children who underwent thoracotomy vs thoracoscopic surgery...

article

Perioperative outcomes of robot‐assisted vs video‐assisted and traditional open thoracic surgery for lung cancer: A systematic review and network meta‐analysis

Junjie Hu, Yan Chen, Jie Dai, Xinsheng Zhu, more

The International Journal of Medical Robotics and Computer Assisted Surgery > 16 > 5 > 1 - 14

Background The superiority of robot‐assisted thoracic surgery (RATS) over video‐assisted thoracic surgery (VATS) and thoracotomy remains controversial for lung cancer. Methods A network meta‐analysis (NMA) and pairwise meta‐analysis (PMA) were performed to evaluate the perioperative outcomes using five databases. Results Thirty‐two studies involving 6593 patients were included for analysis. The...

article

Can a children's hospital still cut it? Comparing outcomes of pediatric, adolescent and young adult patients undergoing thoracic surgery for lung metastases

Federico Scorletti, Jo Cooke‐Barber, Joseph G. Pressey, Rajaram Nagarajan, more

Pediatric Blood & Cancer > 67 > 10 > n/a - n/a

Background Adolescents and young adults (AYAs) with cancer have unique medical challenges compared with younger children and older adults. Dedicated centers have been established to deliver cancer therapy to the AYA population; many of these programs are located in pediatric hospitals. Outcomes of AYA patients on pediatric protocols are generally superior to those on adult protocols. Little is understood...

article

A stuck colonoscope in the chest cavity: An uncommon complication

Muhammad Usman Shah, Ahmed Eissa, Vincenzo Caruso, Sudhir Bhusari

Journal of Cardiac Surgery > 35 > 8 > 2053 - 2055

Colonoscopy is generally considered a safe procedure, with a low rate of complications. Although rare, the migration of the colonoscope may represent life‐threatening events, requiring emergency treatment. We, herein, describe the case of an elective colonoscopy complicated by an irretrievable colonoscope that migrated, through a previous traumatic diaphragmatic hernia, in the chest cavity. This hernia...

article

Open surgical correction of multiple bronchial artery aneurysms

Jef Van den Eynde, Arian Arjomandi Rad, Ilya Karasov, Arkady Airapetyan, more

Journal of Cardiac Surgery > 35 > 7 > 1657 - 1659

Background Bronchial artery aneurysms (BAAs) are a rare vascular entity. They can have various presentations ranging from an incidental finding on radiological examination to life‐threatening hemoptysis. Material and Methods We report the case of a 60‐year‐old woman with three posterior mediastinal BAAs who presented with unilateral periscapular pain, shortness of breath, hoarseness, and dysphagia...

article

HeartMate 3 pump exchange via sternal‐sparing bilateral minithoracotomies

Clauden Louis, Brian Ayers, Bryan Barrus, Sunil Prasad, more

Journal of Cardiac Surgery > 35 > 4 > 901 - 903

As median survival for left ventricular assist device (LVAD) patients increases, the incidence of adverse events requiring device exchange is likely to increase as well. Less invasive surgical approaches for device exchange of older generation pumps have demonstrated multiple potential benefits compared with median sternotomy. However, there remains a paucity of data in regard to less invasive surgical...

article

Thoracotomy for emergency repair of iatrogenic tracheal rupture: single center analysis of perioperative management and outcomes

Manuel F. Struck, Gunther Hempel, Uta C. Pietsch, Johannes Broschewitz, more

BMC Anesthesiology > 2019 > 19 > 1 > 1-10

Background Iatrogenic tracheal ruptures are rare but life-threatening airway complications that often require surgical repair. Data on perioperative vital functions and anesthetic regimes are scarce. The goal of this study was to explore comorbidity, perioperative management, complications and outcomes of patients undergoing thoracotomy for surgical repair. Methods We retrospectively evaluated adult...

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THORACOTOMY (548)
THORACOSCOPY (41)
THORACIC SURGERY (26)
POSTOPERATIVE PAIN (24)
LOBECTOMY (23)
PAIN (21)
SURGERY (21)
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LUNG (6)
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MEDIASTINAL TUMOR (6)
MORPHINE (6)
NON-SMALL CELL LUNG CANCER (6)
OSTEOSARCOMA (6)
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PAIN MANAGEMENT (6)
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SCOLIOSIS (6)
VIDEO-ASSISTED THORACOSCOPY (6)
CERVICOTOMY (5)
CHEST TUBE (5)
CHILDREN (5)
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MINIMALLY INVASIVE SURGERY (5)
PEDIATRIC (5)
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THORACOSCOPIC SURGERY (4)
THORACOSCOPY/VATS (4)
TRACHEOESOPHAGEAL FISTULA (4)
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AIRWAY MANAGEMENT (3)
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Search results

Emergency thoracotomy after cardiac arrest from blunt trauma is not always futile

Mitral valve surgery via repeat median sternotomy versus right mini‐thoracotomy: A systematic review and meta‐analysis of clinical outcomes

Minimally invasive versus conventional aortic valve replacement: The network meta‐analysis

Cosmetic and shoulder functional outcomes in posterolateral minithoracotomy atrial septal defect closure: A retrospective study

Pulmonary Echinococcus in children: A descriptive study in a LMIC

Retrospective evaluation of fluid production at the time of thoracostomy tube removal following elective and emergency surgery in dogs (2010–2017): 185 cases

Multimodal opioid‐sparing pain management after lung transplantation and the impact of liposomal bupivacaine intercostal nerve block

Efficacy of Transcutaneous Electrical Nerve Stimulation for Postoperative Pain, Pulmonary Function, and Opioid Consumption Following Cardiothoracic Procedures: A Systematic Review

Endoscopic sealing of a chronic bronchopleural fistula using acrylate co‐monomer glue

Lung ventilation distribution in patients after traditional full sternotomy and minimally invasive thoracotomy: An observational study

Simultaneous versus staged resections for bilateral pulmonary metastases

Open chest and pericardium facilitate transpulmonary passage of venous air emboli

Analysis of the positional relationship of the long thoracic nerve considering clinical treatment

Thoracoscopy vs thoracotomy for the management of metastatic osteosarcoma: A Pediatric Surgical Oncology Research Collaborative Study

Perioperative outcomes of robot‐assisted vs video‐assisted and traditional open thoracic surgery for lung cancer: A systematic review and network meta‐analysis

Can a children's hospital still cut it? Comparing outcomes of pediatric, adolescent and young adult patients undergoing thoracic surgery for lung metastases

A stuck colonoscope in the chest cavity: An uncommon complication

Open surgical correction of multiple bronchial artery aneurysms

HeartMate 3 pump exchange via sternal‐sparing bilateral minithoracotomies

Thoracotomy for emergency repair of iatrogenic tracheal rupture: single center analysis of perioperative management and outcomes

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