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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

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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:
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Endoscopic Studies II: Thoracocentesis01:26

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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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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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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
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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...
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
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Pneumothorax-I01:26

Pneumothorax-I

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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.
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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
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Chylothorax After Schwannoma Resection.

Henry Zou1, Behrooz Shabahang2

  • 1Thoracic Surgery, Michigan State University College of Human Medicine, Grand Rapids, USA.

Cureus
|November 16, 2022
PubMed
Summary

Chylothorax, a rare complication of thoracic surgery, can occur after schwannoma resection. This case resolved with thoracic duct ligation and chemical pleurodesis after initial conservative management failed.

Keywords:
chemical pleurodesischylothoraxresectionschwannomathoracic duct ligation

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Area of Science:

  • Thoracic surgery
  • Surgical oncology
  • Neurosurgery

Background:

  • Schwannomas are typically benign peripheral nerve sheath tumors.
  • Surgical resection is the primary treatment for symptomatic schwannomas.
  • Chylothorax is a rare but serious complication following thoracic procedures.

Observation:

  • A patient developed chylothorax post-thoracic schwannoma resection.
  • Initial treatment with chest tube suction and total parenteral nutrition (TPN) was unsuccessful.
  • The patient underwent repeat thoracotomy for thoracic duct ligation and talc pleurodesis.

Findings:

  • Complete resection of the mediastinal schwannoma was achieved.
  • Chylothorax resolved following thoracic duct ligation and chemical pleurodesis.
  • No recurrence of chylothorax was observed.

Implications:

  • This case underscores the importance of vigilance for rare postoperative complications like chylothorax.
  • Effective management strategies for post-thoracic surgery chylothorax require further investigation.
  • Randomized controlled trials are needed to establish standardized treatment algorithms for chylothorax.