ABSTRACT
The authors are analyzing the epidemic situation in Ukraine and the epidemiology of chronic tuberculous pleuritis (CTP). They are suggesting 206 pleurectomy results of operated patiens. Restrictive type of venting disorders before surgery occurred are in 26.4% cases, 36.2% and 100%, respectively at 1; 2 and 3 stages of CTP. Reducing the number of patients with this type of violations occurred if 6.9 times, 11.7 times and 3.3 times respectively to operated in case of 1, 2 and 3 stages of CTP. Improvements and other positive functional parameters are submitted. The authors conclusion: pleurectomy is the method of functional rehabilitation at CTP cases.
Subject(s)
Pleura/surgery , Pleural Cavity/surgery , Pneumonolysis/methods , Tuberculosis, Pleural/surgery , Adult , Chronic Disease , Female , Humans , Male , Middle Aged , Pleura/pathology , Pleural Cavity/pathology , Recovery of Function , Tuberculosis, Pleural/pathology , Tuberculosis, Pleural/rehabilitation , UkraineABSTRACT
An infected axillary sinus tract discharged balls made of an acrylic resin consisting essentially of polymerized methyl methacrylate (Lucite) 45 years following performance of an extraperiosteal pneumonolysis and Lucite ball plombage for collapse therapy of right upper lobe cavitary tuberculosis. Surgical extraction of the balls was performed, followed by a partial decortication of the lung and intrathoracic transposition of a pectoralis major muscle flap to fill the residual pleural space. Primary healing was attained, and the patient is well 1 1/2 years after surgery.
Subject(s)
Cutaneous Fistula/surgery , Pleural Diseases/surgery , Pneumonolysis/adverse effects , Tuberculosis, Pulmonary/complications , Axilla , Chronic Disease , Combined Modality Therapy , Cutaneous Fistula/etiology , Female , Humans , Lymphoma, Follicular/pathology , Lymphoma, Follicular/therapy , Methylmethacrylate , Methylmethacrylates , Middle Aged , Neoplasm Recurrence, Local/pathology , Neoplasm Recurrence, Local/therapy , Pectoralis Muscles/transplantation , Pleural Diseases/etiology , Pneumonolysis/methods , Staphylococcal Infections/etiology , Staphylococcal Infections/surgery , Time Factors , Tuberculosis, Pulmonary/surgeryABSTRACT
Surgical thoracoscopy is performed with laparoscopic material and instrumentation and is not limited to the therapeutic applications of classical pleuroscopy such as thoracic sympathectomy or pleurectomy for pneumothorax. It is a simpler, more rapid technique which causes less tissue damage and appears to be more effective than the other transparietal techniques. It has been performed twice for sympathectomy and five times for recurrent pneumothorax with excellent results.
Subject(s)
Pneumonolysis/methods , Sympathectomy/methods , Thoracoscopy , Humans , Pneumothorax/surgery , Thoracic Surgery/methodsABSTRACT
The article elucidates the authors' experience with 144 repeated radical operations on lungs and pleura (89 out of them were resections of lungs). Recovery was achieved in 89,4% of patients subjected to a repeated resection of lung. Lethal outcomes were in 7% of cases.
Subject(s)
Lung Diseases/surgery , Pleural Diseases/surgery , Pneumonectomy/methods , Pneumonolysis/methods , Cicatrix/surgery , Humans , Pneumonectomy/adverse effects , Pneumonolysis/adverse effects , Postoperative Complications/surgery , ReoperationABSTRACT
Pneumothorax, persisting in spite of efficient drainage, may in some cases be caused by discrepancy between lung volume and size of the pleural cavity. The logical treatment is reduction of the pleural cavity simultaneously with a traditional surgical procedure on the pulmonary tissue. An increasing number of refractory pneumothoraces--both spontaneous and istrogenic--is probably due to the fact that more people are living with and suffer the sequelae of pulmonary disease. During a 15-year survey a parietal pleurolysis, tailored to fit the size and shape of the lung, was performed in 10 patients as the main surgical procedure in 100 thoracotomies for 1130 cases of spontaneous and 62 cases of iatrogenic pneumothorax. The results were encouraging.
Subject(s)
Pneumonolysis/methods , Pneumothorax/surgery , Adolescent , Adult , Drainage , Female , Humans , Lung Diseases/complications , Male , Middle Aged , Pneumothorax/complicationsABSTRACT
During a 4-year period, 18 patients were treated for non-specific pleural empyema. Nine patients were treated by closed intercostal drainage and 9 by early decortication. The length of time from initial treatment until complete resolution of the empyema and healing of the wound was compared between the groups and highly favored early surgery. We conclude that if an empyema does not show signs of regression after one week of drainage, surgical intervention is indicated.
Subject(s)
Empyema/surgery , Adolescent , Adult , Aged , Chronic Disease , Drainage/methods , Female , Follow-Up Studies , Humans , Male , Middle Aged , Pneumonolysis/methods , Wound HealingSubject(s)
Empyema/surgery , Pleura/surgery , Pneumonolysis/methods , Pneumothorax/surgery , Adolescent , Adult , Child , Child, Preschool , Chronic Disease , Humans , Infant , Middle AgedABSTRACT
El derrame pleural neoplásico es una manifestación de enfermedad avanzada y su tratamiento debe dirigirse a mejorar la calidad de vida con baja morbilidad. Se expone la conducta seguida utilizando un flujograma terapéutico para la indicación del sellamiento pleural con tetraciclinas o pleurectomia. Se trataron 32 pacientes con derrame y sintomatología invalidante, en 29 se realizó pleurodesis con tetraciclina con un 97// de respuestas. La hipertemia (28//) y el dolor (24//) fueron complicaciones más frecuentes. En los 3 restantes se efectuó pleurectomía y no recidivó el derrame, pero dos se complicaron (infección de herida y defecto de reexpansión). La supervivencia media fue de 9,2 meses