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Pleurodesis is performed to prevent recurrence of spontaneous pneumothorax or pleural effusion, and can be done chemically or mechanically. It is generally avoided in patients with cystic fibrosis if possible, because lung transplantation becomes more difficult following this procedure.
Video-assisted thoracoscopic surgery (VATS) is a type of minimally invasive thoracic surgery performed using a small video camera mounted to a fiberoptic thoracoscope (either 5 mm or 10 mm caliber), with or without angulated visualization, which allows the surgeon to see inside the chest by viewing the video images relayed onto a television screen, and perform procedures using elongated ...
However, pneumonectomies are still used for lung carcinomas that are large and centrally located or have invaded the interlobar fissures. Another indication for the use this procedure is lung destruction due to chronic infections. During a pneumonectomy, the pleural cavity is accessed through a thoracotomy. With direct access to the tumour, the ...
A further use of CT is in the identification of underlying lung lesions. In presumed primary pneumothorax, it may help to identify blebs or cystic lesions (in anticipation of treatment, see below), and in secondary pneumothorax, it can help to identify most of the causes listed above. [15] [19]
Thoracoscopy was first performed by Sir Francis Cruise of the Mater Misericordiae Hospital in Dublin in conjunction with Dr Samuel Gordon in 1865. [2] It was further developed by Hans Christian Jacobaeus, a Swedish internist in 1910 for the treatment of tuberculous intra-thoracic adhesions.
Pleurodesis fails in as many as 30% of cases. An alternative is to place a PleurX Pleural Catheter or Aspira Drainage Catheter. This is a 15Fr chest tube with a one-way valve. Each day the patient or caregivers connect it to a simple vacuum tube and remove from 600 to 1000 mL of fluid, and can be repeated daily. When not in use, the tube is capped.
Agents on patrol discovered two backpacks stuffed with more than $1.1 million worth of cocaine in Washington state near the border with Canada, U.S. Customs and Border Protection said Monday. The ...
Decortication is a medical procedure involving the surgical removal of the surface layer, membrane, or fibrous cover of an organ.The procedure is usually performed when the lung is covered by a thick, inelastic pleural peel restricting lung expansion.