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Related Concept Videos

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
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...
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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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Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

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Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
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Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.01:25

Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.

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Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
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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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Pneumonia I: Introduction01:30

Pneumonia I: Introduction

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Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
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Related Experiment Video

Updated: May 21, 2025

Development of Obliterative Bronchiolitis in a Murine Model of Orthotopic Lung Transplantation
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[Risk factors for bronchopleural complications after pneumonectomy].

D B Giller1,2,3, B M Giller4, B D Giller1

  • 1Sechenov First Moscow State Medical University, Moscow, Russia.

Khirurgiia
|March 19, 2025
PubMed
Summary

Bronchopleural complications after pneumonectomy, particularly bronchial fistula, remain a significant cause of death. Bronchial suturing technique and surgical side are key factors influencing fistula development, with pulmonary gangrene posing the highest risk.

Keywords:
VATSbronchial fistulabronchopleural complicationslateral thoracotomypneumonectomy

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Surgical Complications

Context:

  • Pneumonectomy is a major surgical procedure with significant risks.
  • Bronchopleural complications, especially bronchial fistula, are life-threatening.
  • Historical data from 2022 pneumonectomies (1958-2023) provide insights into risk factors and outcomes.

Purpose:

  • To evaluate risk factors for bronchopleural complications post-pneumonectomy.
  • To assess the effectiveness of different bronchial stump closure and covering techniques.
  • To identify key determinants of bronchial fistula incidence and mortality.

Summary:

  • Bronchial suturing technique and surgical side significantly impact bronchial fistula rates.
  • Pulmonary gangrene surgery carries the highest risk, while total cancer resection has the lowest.
  • Delayed bronchial fistula is more common in tuberculosis cases than early fistula.

Impact:

  • Findings can inform surgical strategies to minimize bronchopleural complications.
  • Improved techniques for bronchial stump management can reduce mortality after pneumonectomy.
  • Understanding specific risk factors allows for tailored patient management and preventative measures.