Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Management of chylothorax

N L Browse1, D R Allen, N M Wilson

  • 1Department of Surgery, St. Thomas' Hospital, London, UK.

The British Journal of Surgery
|February 4, 1998
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

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

Sort by
Same author

Quantifying hospital environmental ventilation using carbon dioxide monitoring - a multicentre study.

Anaesthesia·2023
Same author

Effect of frequency and amplitude of respiratory activity on aerosol emissions.

Anaesthesia·2022
Same author

The effect of respiratory activity, non-invasive respiratory support and facemasks on aerosol generation and its relevance to COVID-19.

Anaesthesia·2021
Same author

Airborne transmission of severe acute respiratory syndrome coronavirus-2 to healthcare workers: a narrative review.

Anaesthesia·2020
Same author

Axium MicroFX coil for the completing endovascular aneurysm surgery study (ACCESS). A prospective evaluation of the safety and durability of Axium MicroFX PGLA coils.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences·2012
Same author

An unforeseen danger of lightning.

The Veterinary record·2010

Chylothorax management is uncertain. Parietal pleurectomy effectively prevents effusion reaccumulation, offering a successful treatment for this rare condition when the lymphatic abnormality is not clearly identifiable.

Area of Science:

  • Thoracic Surgery
  • Gastroenterology
  • Pediatric Surgery

Background:

  • Chylothorax, a rare condition, can be primary or secondary.
  • Optimal management strategies for chylothorax remain uncertain.
  • This study reviews cases of chylothorax managed between 1956 and 1986.

Purpose of the Study:

  • To evaluate the effectiveness of different management strategies for chylothorax.
  • To identify the most successful treatment for preventing chylothorax recurrence.
  • To provide guidance on when to transition from conservative to surgical management.

Main Methods:

  • Retrospective review of twenty chylothorax cases.
  • Cases included primary chylothorax and secondary chylothorax due to malignancy, subclavian vein thrombosis, or lymphangioma.

Related Experiment Videos

  • Treatment outcomes were analyzed, including reaccumulation of effusion and long-term survival.

    • Main Results:

    • Parietal pleurectomy demonstrated the highest success rate in preventing effusion reaccumulation.
    • Thoracic duct-azygous vein anastomoses showed poor long-term patency.
    • Twelve out of twenty patients were alive and free from effusion 3-22 years post-treatment.

    Conclusions:

    • Lymphangiography is recommended to determine the cause and location of lymphatic abnormalities in chylothorax.
    • Conservative management should be discontinued if fluid loss thresholds are exceeded.
    • Parietal pleurectomy is the preferred treatment for unidentified lymphatic leaks; direct ligation is suitable for isolated leaks.