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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

584
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:
584
Flail Chest-II01:26

Flail Chest-II

350
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:
350
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

833
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...
833
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

330
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...
330
Pneumothorax-I01:26

Pneumothorax-I

743
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.
743
Muscles of the Thorax01:25

Muscles of the Thorax

2.9K
The thorax muscles are central to the body's respiration and provide essential support and movement for the upper body. They are intricately designed to facilitate the complex breathing process while also contributing to the structural integrity and mobility of the chest and upper limbs.
The diaphragm is at the core of thoracic musculature, the primary muscle involved in breathing. This expansive, dome-shaped muscle marks the division between the thoracic and abdominal cavities. It...
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Related Experiment Video

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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

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Thoracoplasty: Still relevant to current practice.

Rebecca Phillip1,2, Amber Bettis1, Daniel Davenport1

  • 1Department of Surgery, University of Kentucky, Lexington, KY, USA.

Asian Cardiovascular & Thoracic Annals
|March 12, 2021
PubMed
Summary

Thoracoplasty demonstrates low mortality and morbidity for managing residual pleural space. This thoracic surgery technique remains a valuable option for complex cases.

Keywords:
Thoracoplastymuscle flapresidual pleural spacethoracic surgery

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Area of Science:

  • Thoracic Surgery
  • Surgical Outcomes
  • Pleural Space Management

Background:

  • Residual pleural space management is a significant challenge in thoracic surgery.
  • Current options include thoracotomy with muscle flap/wound vac, Eloesser procedure, or thoracoplasty.
  • This study examines the practice and short-term outcomes of thoracoplasty using the American College of Surgeons National Surgery Quality Improvement Program (ACS NSQIP).

Purpose of the Study:

  • To evaluate current practice patterns of thoracoplasty.
  • To assess the short-term outcomes of thoracoplasty procedures.
  • To determine the safety and efficacy of thoracoplasty in managing residual pleural space.

Main Methods:

  • Retrospective review of thoracoplasty procedures (CPT® codes 32900, 32905, 32906) in the ACS NSQIP database (2012-2017).
  • Analysis of prospectively collected perioperative and 30-day outcome data.
  • Inclusion of patients undergoing major thoracic surgery nationally.

Main Results:

  • 131 thoracoplasties were analyzed; average patient age was 48 years.
  • Median operative duration was 101 minutes; 8% required blood transfusion.
  • Low mortality (1 death) and 23% major morbidity; 8% 30-day readmission rate.

Conclusions:

  • Current thoracoplasty practices show low mortality and morbidity.
  • Thoracoplasty is a viable and effective option for residual pleural space management.
  • This procedure should be maintained as a crucial tool in thoracic surgery armamentarium.