Dual incision thoracoscopic (DIT) decortication for stage 2 fibrinopurulent effusion is a further reduction in the invasiveness of thoracoscopy. DIT decortication is less invasive in a patient who is already morbid with infection, and the limited incisions or ports further reduce nerve injury in a relatively crowded rib space.
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Chest Wall
January 21, 2014
The resection of locally advanced lung cancer is generally accomplished with thoracotomy. When possible, the authors use a hybrid approach. This video illustrates two cases of invasive right upper lobe tumors. VATS exploration through a standard anterior, two-incision, approach directs a secondary counter incision.
September 6, 2013
The cause of pectus deformities is thought to be abnormal elongation and/or distorsion of the rib cartilages. A simplified open repair is described based on the subperichondrial resection of the abnormal cartilages, and in the case of pectus excavatum, the use of an easily removable metallic strut.
March 17, 2013
The anterior cervicothoracic approach was used to remove a desmoid tumor of the thoracic outlet in a 70-year-old male. The chest wall was reconstructed with titanium bars and a polytetrafluoroethylene-patch. The clavicle was fixed using a titanium clip. The postoperative period was uneventful.
July 19, 2012
The Novalung Interventional Lung Assist (iLA) device is a membrane ventilator that allows for oxygen and carbon dioxide gas exchange to occur by simple diffusion.
May 13, 2012
Ever controversial, Dr Randas Batista is best known for the operation that bears his name, otherwise known as a reduction ventriculoplasty, that caused a huge amount of interest in the USA and Europe 10 years ago as an alternative to transplantation for heart failure. A maverick to some, but a resourceful innovator working in a developing country to others.
February 23, 2012
A young female with a single metastasis at the level of the upper portion of the sternum underwent surgical excision of the sternum followed by sternal allograft implantation. The use of a sternal allograft provides excellent functional and cosmetic results.
December 15, 2011
Prof. Hans Pilegaard has developed a novel method for Nuss bar insertion using a short bar technique. Using this technique he has performed almost 1000 Nuss procedures. In this interview he describes his technique. Intraoperative video is included of Dr. Pilegaard performing the operation at the Edinburgh Royal Infirmary.
December 15, 2011
Breast implant complications after thoracic surgery are relatively rare. We present an unusual case of an intact implant migration into the pleural space after thoracoscopic surgery that was initially read as hemothorax on computed tomography of the chest.
July 28, 2011
The intercostal muscle is a reliable buttress for the bronchial stump following pneumonectomy and lobectomy in high risk patients. We describe a technique for flap harvest to buttress the bronchial stump after lobectomy using video assisted thoracoscopic surgery.