Buttressing suture/staple lines in thoracic surgery has been shown to promote healing and prevent breakdown, especially in situations where the native tissues have been compromised. There are a wide variety of tissue flaps that have been used within the chest ranging from pleura, muscle, to omentum.
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Diaphragm
July 1, 2008
Patient SelectionThe initial selection is performed by the spine surgeon for typical indications of spine stabilization, resection of tumor, drainage of an abscess, and re-operation for complications of previous spine surgery [1
June 17, 2008
Unilateral diaphragmatic agenesis is a rare diagnosis typically made early in infancy and generally associated with other genetic anomalies. We present an unusual case of adult onset progressive shortness of breath and peripartum hepatic herniation into the chest, which on intraoperative exploration revealed diaphragmatic agenesis.
June 15, 2008
Various diathermy techniques have been proposed to reduce intraoperative blood loss in surgery. In particular, standard bipolar technology is able to coagulate small vessels, with a diameter ranging from 1 mm to 3 mm, but it has some disadvantages, including sticking, charring, and significant thermal spread [1,2].
April 8, 2008
Obstruction of the central airways may develop in 30-40% of all patients with lung cancer and is being increasingly diagnosed in patients with benign disorders such as post intubation tracheal stenosis and connective tissue diseases.
April 8, 2008
Radio frequency ablation (RFA) of lung tumors is a relatively new procedure allowing local treatment with minimal parenchymal damage. In fact, this technique is able to induce coagulative necrosis in a limited pulmonary area.
April 8, 2008
Tissue sealing remains a requirement for advanced general thoracic procedures with the aims of improving hemostasis, diminishing lymphatic fluid production, and prevention of postoperative air leaks. Different products have become available in recent years that include commercial biological glues, autologous glues made on-site, and biological fibrin-based products.
April 8, 2008
Pulmonary nodules and masses are common reasons for referring patients to the pulmonologist, radiologist, and thoracic surgeon for evaluation. The burgeoning use of chest computed tomography for screening, to rule out pulmonary embolism, and for other indications may lead to a significant increase in patients with newly discovered lesions.