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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

184
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:
184
Pneumothorax-II01:27

Pneumothorax-II

170
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:
170
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

214
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...
214
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

668
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...
668
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

201
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...
201

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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Improving surgical technique for tracheal resection with anastomosis].

Khirurgiia·2024
Same author

[Reconstructive surgery for late complications after blunt chest wall trauma].

Khirurgiia·2023
Same author

[Diagnosis and treatment of bronchopleural fistula after anatomical lung resections].

Khirurgiia·2023
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[Nuss procedure for multiple floating rib and sternum fractures].

Khirurgiia·2022
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[Surgical strategy for suppurative complications of pancreatic necrosis].

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[Simultaneous surgery for concomitant lung cancer and diffuse coronary atherosclerosis].

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Related Experiment Video

Updated: Jul 13, 2025

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
07:28

Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

Published on: October 11, 2024

380

[Staged reconstructive surgery for bronchopleural fistula].

E A Korymasov1,2, M A Medvedchikov-Ardiya1, I S Polyakov3

  • 1Samara State Medical University, Samara, Russia.

Khirurgiia
|October 18, 2023
PubMed
Summary
This summary is machine-generated.

Bronchopleural fistula after pneumonectomy is a complex surgical challenge. Reconstructive surgery using a latissimus dorsi muscle flap offers a viable solution for persistent cases.

Keywords:
chest wall defectchest wall myoplastypleural empyemapostoperative bronchial fistulathoracodorsal flapthoracostomy

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Area of Science:

  • Thoracic surgery
  • Surgical oncology
  • Infectious disease

Background:

  • Bronchopleural fistula (BPF) following pneumonectomy presents a significant challenge in thoracic surgery.
  • Standard treatments like transsternal bronchial stump occlusion may not always suffice.

Observation:

  • A patient with concurrent lung cancer and tuberculosis experienced postoperative bronchial stump failure.
  • Preoperative diagnostics and surgical interventions were detailed.

Findings:

  • Surgical management, including reconstructive surgery with a muscle flap, resulted in patient recovery.
  • The latissimus dorsi muscle flap, supported by the thoracodorsal artery, proved effective for extensive chest wall defects.

Implications:

  • This case highlights the effectiveness of latissimus dorsi muscle flaps in managing complex bronchopleural fistulas post-pneumonectomy.
  • It underscores the importance of tailored reconstructive approaches for challenging thoracic surgical complications.