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https://www.readbyqxmd.com/read/29779908/fixation-of-lung-apex-in-spontaneous-pneumothorax-is-safe-and-efficient-in-decrease-recurrences
#1
Wendy Yang, Pei-Yeh Chang, Ai-Hua Yeh, Yung-Ching Ming, Jeng Chang Chen, Jin-Yao Lai
BACKGROUND: Video-assisted thoracoscopic bullectomy with pleurodesis is widely used to treat spontaneous pneumothorax. However, 1%-3% of patients experience postoperative complications that may require reoperation, such as bleeding or prolonged air leaks, and 3%-7% of patients require a repeat thoracoscopic bullectomy due to recurrence. Therefore, a modified procedure with improved outcomes is required. METHODS: Between January 1, 2011 and December 31, 2015, 196 patients with spontaneous pneumothorax underwent thoracoscopic bullectomy and pleurodesis with or without fixation of the lung apex to the chest wall...
May 3, 2018: Pediatrics and Neonatology
https://www.readbyqxmd.com/read/29769481/a-case-of-thoracic-endometriosis-syndrome-presenting-with-recurrent-catamenial-pneumothorax
#2
Shoaib Z Junejo, Sandeep Singh Lubana, Sukhdip Singh Shina, Sandeep Singh Tuli
BACKGROUND Catamenial pneumothorax (CP) is a spontaneous pneumothorax commonly associated with menstrual periods. Endometrial tissues most commonly involve the pelvic region. However, after the pelvis, the lungs are most frequently involved. Thoracic endometriosis should always be suspected in young women presenting with CP. CASE REPORT A 30-year-old woman with history of endometriosis presented with chief complaint of umbilical pain. A computerized tomography (CT) scan of the abdomen and pelvis was performed, which showed an incidental finding of a large right-sided pneumothorax...
May 17, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29734572/can-my-patient-dive-after-a-first-episode-of-primary-spontaneous-pneumothorax-a-systematic-review-of-the-literature
#3
M Alvarez Villela, S Dunworth, N P Harlan, R E Moon
Introduction: Patients with prior primary spontaneous pneumothorax (PSP) frequently seek clearance to dive. Despite wide consensus in precluding compressed-air diving in this population, there is a paucity of data to support this decision. We reviewed the literature reporting the risk of PSP recurrence. Methods: A literature search was performed in PubMed and Web of Science using predefined terms. Studies published in English reporting the recurrence rate after a first PSP were included...
March 2018: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29717345/vats-partial-pleurectomy-versus-vats-pleural-abrasion-significant-reduction-in-pneumothorax-recurrence-rates-after-pleurectomy
#4
Caecilia Ng, Herbert Thomas Maier, Florian Kocher, Silvia Jud, Paolo Lucciarini, Dietmar Öfner, Thomas Schmid, Florian Augustin
INTRODUCTION: Surgical treatment of primary spontaneous pneumothorax (PSP) usually consists of bullectomy and any form of pleurodesis to reduce risk of disease recurrence. Whether pleurectomy is superior to pleural abrasion is still a matter of debate with recurrence rates especially high when performed with a video-assisted thoracoscopic (VATS) approach. Aim of this study was to compare the efficacy of the two methods in prevention of recurrence of pneumothorax in a minimally invasive setting...
May 1, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29705735/lemierre-s-syndrome-a-rare-cause-of-sepsis-presenting-with-an-absence-of-throat-symptoms
#5
Thomas Whittle, Natasha Amiraraghi, Bappa Sarkar
A 16-year-old boy presented to hospital with a 6-day history of diarrhoea, vomiting and abdominal pain. During his admission he was found to be hypotensive, tachycardic and persistently feverish. Blood cultures taken on admission isolated Fusobacterium necrophorum CT scanning of his neck showed a non-occlusive thrombus of the right internal jugular vein and a small right parapharyngeal abscess. CT scans of the chest and abdomen revealed multiple pulmonary abscesses, bilateral pleural effusions and splenomegaly...
April 28, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29701428/anaesthetic-management-in-a-duchennne-muscle-dystrophy-patient-for-treatment-of-recurrent-pneumothorax
#6
Sara Mota, Liuba Germanova, Joana Cortesão, Teresa Paiva
INTRODUCTION: Duchenne muscular dystrophy (DMD) is an x linked recessive disorder. Long term prognosis is ominous, with development of respiratory distress and cardiomyopathy in advanced stage of the disease and expected death in the teens-to-mid 20s due to respiratory or cardiac failure. Peri-operative management of this patients is challenging due to difficult airway anatomy (macroglossia, limited neck and mandibular mobility). Additionally, they are at risk of developing malignant hyperthermia, rhabdomyolysis and hyperkalemic cardiac arrest when exposed to halogenated inhalational anaesthetics and depolarizing muscle relaxants...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29701376/what-about-having-a-hydropneumothorax-every-month
#7
Sara Lopes, João Maciel, Pedro Cabral Bastos, Paulo Pinho
INTRODUCTION: Endometriosis is a pathological, benign, inflammatory condition characterized by the presence of endometrial glands and stroma outside the uterine cavity, typically in the pelvis. In rare conditions, this estrogen-dependent disease may be extrapelvic, presenting with a variety of symptoms, including Thoracic Endometriosis. METHODS: A 37 year-old woman presented with her third right hydropneumothorax in three months. Her medical history included infertility, an ovarian mass (in study), biliary diskinesia and protein C deficiency...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29682466/video-assisted-thoracoscopic-plasmajet-ablation-for-malignant-pleural-mesothelioma
#8
Periklis Perikleous, Nizar Asadi, Vladimir Anikin
The role of surgery in malignant pleural mesothelioma (MPM) remains debatable; nonetheless the relative advantages of different surgical approaches are frequently reassessed and reconsidered. While extensive operations and longer recovery periods can be justified for a group of carefully selected patients, many will present at an advanced stage of their disease or with associated co-morbidities which will exclude them from selection criteria for radical treatment. For these patients, minimally invasive video-assisted procedures may be considered, for purposes of cytoreduction and/or symptomatic relief...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29672817/early-autologous-blood-patch-pleurodesis-versus-conservative-management-for-treatment-of-secondary-spontaneous-pneumothorax
#9
Islam M Ibrahim, Montaser Elsawy Abd Elaziz, Mohammed Ahmed El-Hag-Aly
BACKGROUND:  Autologous blood-patch pleurodesis has been effectively utilized as a treatment option for the condition of secondary spontaneous pneumothorax (SSP). Moreover, it can be used with persistent air leak, with or without residual air space. However, there have been no robust reports for the optimal timing for autologous blood-patch pleurodesis. The aim of this study is to compare early autologous blood-patch pleurodesis with conservative management of SSP. METHODS:  We conducted a randomized controlled study at the Menoufia University Hospital...
April 19, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29629920/pleural-effusions-in-hematologic-malignancies-and-their-management-with-indwelling-pleural-catheters
#10
Erik Vakil, Carlos A Jimenez, Saadia A Faiz
PURPOSE OF REVIEW: Pleural effusions in patients with hematologic malignancy may represent malignant pleural effusion (MPE) or occur secondary to infection, treatment effects, and other common causes. The impact of MPE on prognosis in this cohort remains unclear. Indwelling pleural catheters (IPCs) are routinely placed for palliation of recurrent symptomatic MPEs, but perceived concerns over infection and bleeding may limit their use in patients with hematologic malignancies. However, recent evidence suggests IPCs are both well tolerated and effective in this cohort...
April 6, 2018: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/29629675/the-current-aetiology-of-malignant-pleural-effusion-in-the-western-cape-province-south-africa
#11
C F N Koegelenberg, S M Bennji, E Boer, P T Schubert, J A Shaw, B W Allwood, E M Irusen
BACKGROUND: Malignant pleural effusion (MPE) represents a very common cause of pleural exudates, and is one of the most challenging pleural disorders to manage. This could be attributed to the paucity of high-quality experimental evidence, and inconsistent practice worldwide. South Africa (SA) currently has no data regarding the aetiology of MPE. OBJECTIVES: To identify the most common malignancies causing MPE in a population served by a large tertiary hospital in SA, and specifically the relative contribution of mesothelioma...
March 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29617585/outpatient-talc-administration-by-indwelling-pleural-catheter-for-malignant-effusion
#12
RANDOMIZED CONTROLLED TRIAL
Rahul Bhatnagar, Emma K Keenan, Anna J Morley, Brennan C Kahan, Andrew E Stanton, Mohammed Haris, Richard N Harrison, Rehan A Mustafa, Lesley J Bishop, Liju Ahmed, Alex West, Jayne Holme, Matthew Evison, Mohammed Munavvar, Pasupathy Sivasothy, Jurgen Herre, David Cooper, Mark Roberts, Anur Guhan, Clare Hooper, James Walters, Tarek S Saba, Biswajit Chakrabarti, Samal Gunatilake, Ioannis Psallidas, Steven P Walker, Anna C Bibby, Sarah Smith, Louise J Stadon, Natalie J Zahan-Evans, Y C Gary Lee, John E Harvey, Najib M Rahman, Robert F Miller, Nick A Maskell
BACKGROUND: Malignant pleural effusion affects more than 750,000 persons each year across Europe and the United States. Pleurodesis with the administration of talc in hospitalized patients is the most common treatment, but indwelling pleural catheters placed for drainage offer an ambulatory alternative. We examined whether talc administered through an indwelling pleural catheter was more effective at inducing pleurodesis than the use of an indwelling pleural catheter alone. METHODS: Over a period of 4 years, we recruited patients with malignant pleural effusion at 18 centers in the United Kingdom...
April 5, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29607152/wet-m1a-non-small-cell-lung-cancer-is-it-possible-to-predict-recurrence-of-pleural-effusion
#13
Fernando Conrado Abrao, Igor Renato Louro Bruno de Abreu, Geisa Garcia Viana, Mariana Campello de Oliveira, Elnara Marcia Negri, Riad Naim Younes
Background: The propose was to recognize risk factors of malignant pleural effusion (MPE) recurrence in patients with symptomatic M1a non-small cell lung cancer (NSCLC). Methods: All patients with NSCLC and MPE submitted to pleural palliative procedures were enrolled in a prospective study. Group I contained patients who had pleural recurrence, and Group II with no pleural recurrence. Prognostic factors for pleural recurrence were identified by univariable analysis, using Fisher's exact test for categorical variables and Student's t test for quantitative variables...
February 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29607146/erythromycin-poudrage-versus-erythromycin-slurry-in-the-treatment-of-refractory-spontaneous-pneumothorax
#14
Cong-Cong Zhai, Xin-Shan Lin, Zhou-Hong Yao, Qing-Hua Liu, Ling Zhu, Dian-Jie Lin, Yun-Yan Wan
Background: Refractory (recurrent or persistent) spontaneous pneumothorax with high recurrence rates required treatment either by continuous chest drainage or interventional approaches. Pleurodesis by sclerosing agents has become a significant therapy in the treatment of refractory spontaneous pneumothorax (RSP) on account of its high efficiency and safety. However, the efficacy, safety and appropriate mode of administration of intrapleural erythromycin for pleurodesis have not yet been realized in the treatment of RSP...
February 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29605200/efficacy-of-treatments-in-primary-spontaneous-pneumothorax-a-systematic-review-and-network-meta-analysis-of-randomized-clinical-trials
#15
REVIEW
Nguyen Lam Vuong, Abdelrahman Elshafay, Le Phuong Thao, Ahmed Ramadan Abdalla, Islam Ashraf Mohyeldin, Khaled Elsabaa, Esraa Salah Omran, Fuxun Yu, Kenji Hirayama, Nguyen Tien Huy
BACKGROUND: Primary spontaneous pneumothorax (PSP) remains a significant global health problem. Despite general agreement, an official algorithm for the management of PSP still does not exist. OBJECTIVES: Evaluating the efficacy of all available treatments in PSP. METHODS: A systematic search of 12 electronic databases was performed to identify all randomized controlled trials (RCTs) of any treatments in PSP. The primary endpoint was recurrence incidence; secondary were an immediate success, complication and hospitalization days...
April 2018: Respiratory Medicine
https://www.readbyqxmd.com/read/29603030/conventional-versus-pigtail-chest-tube-are-they-similar-for-treatment-of-malignant-pleural-effusions
#16
Maria Aurora Mendes, Nuno China Pereira, Carla Ribeiro, Manuela Vanzeller, Teresa Shiang, Rita Gaio, Sérgio Campainha
INTRODUCTION: The optimal chest tube type and size for drainage and chemical pleurodesis of malignant pleural effusions remains controversial. This retrospective study was conducted to compare the efficacy of conventional versus pigtail chest tube in the treatment of malignant pleural effusions. METHODS: Patients submitted to chest tube drainage and slurry talc pleurodesis due to malignant pleural effusion in our pulmonology ward from 2012 to 2016 were eligible...
March 30, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29600069/the-management-of-chemical-pleurodesis-with-viscum-album-in-patients-with-persistent-air-leakage
#17
Jae Bum Park, Song Am Lee, Woo Surng Lee, Yo Han Kim, Jae Joon Hwang
Background: Persistent air leak (PAL) after major pulmonary resection or involved with secondary lung disease is prevalent and associated with significant morbidity. Chemical pleurodesis is a practical therapeutic tool to manage the patients with PAL. Among various sclerosing substances, viscum album (fraxini) is considered effective and safe. The aim of this study was to evaluate the efficacy and safety of viscum album pleurodesis in patients with intractable prolonged air leakage. Methods: Between February 2013 and February 2015, 73 consecutive patients who underwent pleurodesis due to PAL were enrolled in this study...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29600067/effect-of-chest-tube-size-on-pleurodesis-efficacy-in-malignant-pleural-effusion-a-meta-analysis-of-randomized-controlled-trials
#18
Inderpal Thethi, Shokufeh Ramirez, Wei Shen, Dingding Zhang, Maha Mohamad, Upendra Kaphle, Fayez Kheir
Background: Malignant pleural effusion (MPE) develops in approximately 50% of all patients with metastatic cancer. The efficacy of small- vs. large-bore chest tube for pleurodesis in patients with MPE is still not clear. Methods: We performed a meta-analysis to evaluate the efficacy and safety of chest tube size in the management of MPE. A systematic search of Medline (Ovid) and Embase (from 1980 to March 2016) was performed. Randomized clinical trials (RCTs) evaluating the effect of small (≤14 French) vs...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29572835/what-happens-to-the-pleural-space-affected-by-malignant-effusion-after-bedside-pleurodesis
#19
Pedro H X N de Araujo, Ricardo M Terra, Thiago da Silva Santos, Rodrigo C Chate, Antonio F L de Paiva, Paulo M Pêgo-Fernandes
BACKGROUND AND OBJECTIVES: Evaluate radiological characteristics of postpleurodesis pleural space of patients with recurrent malignant pleural effusion(RMPE). METHODS: Prospective cohort study including patients with RPME treated with bedside pleurodesis. We used CT scans to calculate pleural cavity volume immediately before pleurodesis(iCT) and 30 days after(CT30). Radiological evolution was calculated by the difference between pleural volumes on CT30 and iCT(Δvolume)...
March 24, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29568725/management-of-septated-malignant-pleural-effusions
#20
REVIEW
Radhika Banka, Dayle Terrington, Eleanor K Mishra
Purpose of Review: We review recent studies of patients with septated malignant pleural effusions, to understand what the clinical implications for patients are and what evidence-based methods should be used to manage these effusions. Recent Findings: Fibrinolytics improve effusion size assessed radiologically in patients with a chest drain inserted for septated malignant pleural effusions but this does not translate into an improvement in breathlessness relief or pleurodesis success...
2018: Current Pulmonology Reports
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