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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax II: Pathophysiology01:08

Pneumothorax II: Pathophysiology

Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance between...
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

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Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
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Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

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Persistent late post-pneumonectomy spontaneous pneumothorax: a challenging case.

Alfredo Cesario1, Kenji Kawamukai, Stefano Margaritora

  • 1Division of General Thoracic Surgery, Department of General Surgery, Catholic University, Largo A. Gemelli, 8-00168 Rome, Italy. alfcesario@yahoo.com

Interactive Cardiovascular and Thoracic Surgery
|August 3, 2007
PubMed
Summary

Post-pneumonectomy spontaneous pneumothorax is a rare complication. This case report details a late spontaneous right pneumothorax in a patient after pneumonectomy, successfully treated with thoracotomic bullectomy.

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Area of Science:

  • Thoracic surgery
  • Pulmonary medicine
  • Medical case reports

Background:

  • Spontaneous pneumothorax is a rare complication following pneumonectomy.
  • Late-onset cases are exceptionally infrequent, posing diagnostic and therapeutic challenges.

Purpose of the Study:

  • To report a rare case of late spontaneous right pneumothorax after right pneumonectomy.
  • To discuss the management of this rare post-surgical complication.

Main Methods:

  • Case presentation of a patient with a history of right pneumonectomy.
  • Surgical intervention involving thoracotomic bullectomy for the recurrent pneumothorax.

Main Results:

  • Successful treatment of late spontaneous right pneumothorax via thoracotomic bullectomy.
  • Resolution of symptoms and prevention of recurrence.

Conclusions:

  • Thoracotomic bullectomy is an effective treatment for post-pneumonectomy spontaneous pneumothorax.
  • Early recognition and surgical management are crucial for favorable outcomes in these rare cases.