Related Experiment Video
Updated: Mar 30, 2026
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
1.9K
[Chyle leak after cervical surgery: Meta analysis--Management strategy].
Revue De Laryngologie - Otologie - Rhinologie
|November 3, 2015
Summary
Chyle fistula after cervical surgery can cause lymphorrhea. This study proposes a management strategy: enteral diet for low flow, parenteral nutrition for moderate flow or enteral failure, and surgery for high flow or prolonged failure.
Area of Science:
- Surgical complications
- Gastroenterology
- Nutritional support
Context:
- Chyle fistula is a recognized complication following cervical surgery.
- Postoperative lymphorrhea can result from chyle fistula.
- Current management strategies lack universal consensus.
Purpose:
- To propose a structured management strategy for postoperative chyle leaks.
- To synthesize evidence from existing literature on chyle fistula treatment.
- To provide a clinical guideline for managing chyle fistula in cervical surgery.
Summary:
- A literature review identified six prospective articles on chyle fistula management.
- Enteral diet achieved success in 57% of cases with lymph flow <580 mL/day.
- Parenteral nutrition was effective for flows <1050 mL/day; reoperation was reserved for treatment failures.
Impact:
- This work offers a defined management pathway for chyle fistula.
- The proposed strategy stratifies treatment based on lymph flow volume.
- It aims to optimize patient outcomes and reduce surgical morbidity.
Related Concept Videos
01:26Endoscopic Studies II: Thoracocentesis
2.0K
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...
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...
2.0K
01:27Pneumothorax-II
1.4K
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:
Clinical Manifestations:
1.4K
01:26Flail Chest-II
873
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
873
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
909
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
909
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
426
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
426
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
814
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
814