ABSTRACT
The Authors reported the cases of posttraumatic pneumomediastinum came to their observation over the past 8 years. The etiology, pathophysiology, diagnosis, treatment and blunt injures eventually associated are discussed. Conclude that in the absence of associated injuries the treatment and the course of post-traumatic pneumomediastinum are the same that spontaneous pneumomediastinum.
Subject(s)
Mediastinal Emphysema , Thoracic Injuries , Wounds, Nonpenetrating , Adult , Aged , Aged, 80 and over , Algorithms , Drainage/methods , Female , Humans , Male , Mediastinal Emphysema/diagnosis , Mediastinal Emphysema/etiology , Mediastinal Emphysema/physiopathology , Mediastinal Emphysema/therapy , Middle Aged , Retrospective Studies , Thoracic Injuries/complications , Thoracic Injuries/diagnosis , Thoracic Injuries/physiopathology , Thoracic Injuries/therapy , Treatment Outcome , Wounds, Nonpenetrating/complications , Wounds, Nonpenetrating/diagnosis , Wounds, Nonpenetrating/physiopathology , Wounds, Nonpenetrating/therapyABSTRACT
The Authors, after extensive introduction on the incidence, etiology, classification, pathophysiology, possible complications, diagnosis and treatment of thoracic trauma, relate their experience on the last eight years, stressing the diagnostic and therapeutic strategy in management of trauma simple and complicated and assessing finally serious social impact of these pathologies and the educational opportunities provided.
Subject(s)
Thoracic Injuries/economics , Thoracic Injuries/epidemiology , Thoracic Surgery/education , Costs and Cost Analysis , Humans , Incidence , Italy , Time FactorsABSTRACT
Pulmonary metastases resection is a method universally accepted in selected patients. Long-term survival reaches good levels after complete resection of lung metastases independently of primary tumour histology. The Authors emphasizes literature data; they report data of their experience no statistically significant but useful for valuation of results. They discuss of advantages vs disadvantages of the surgical procedures. In conclusion they believe metastasectomy is a safe treatment of pulmonary metastases.
Subject(s)
Lung Neoplasms/secondary , Lung Neoplasms/surgery , Adolescent , Adult , Aged , Clinical Protocols , Combined Modality Therapy , Data Interpretation, Statistical , Disease-Free Survival , Female , Humans , Lung/pathology , Lung Neoplasms/diagnosis , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/mortality , Lung Neoplasms/pathology , Male , Middle Aged , Patient Selection , Prognosis , Radiography, Thoracic , Randomized Controlled Trials as Topic , Reoperation , Retrospective Studies , Sternum/surgery , Survival Analysis , Thoracic Surgery, Video-Assisted , Thoracoscopy , Thoracotomy , Time Factors , Tomography, X-Ray ComputedABSTRACT
Hydatidosis represents a form of helminthic zoonosis with a stronger medical, social and economic impact. It is endemic in some areas of the world including Mediterranean countries, and therefore Italy. The disease is often diagnosed in an advanced phase, due to the poor symptomatology in the early stages. The best treatment is surgery. Emergency surgery is similar to elective surgery, though in some cases is preferable only a drainage procedure until the stabilization of the genreal and local conditions of the patient allow a radical intervention. The Authors report on their five year experience of surgical treatment of compliated pulmonar hydatidosis pointing out that exeresis must be aimed at preserving pulmonar function as much as possible.
Subject(s)
Echinococcosis, Pulmonary/surgery , Adolescent , Adult , Aged , Echinococcosis, Pulmonary/diagnosis , Echinococcosis, Pulmonary/diagnostic imaging , Emergencies , Female , Follow-Up Studies , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Pneumonectomy , Radiography, Thoracic , Time Factors , Tomography, X-Ray ComputedABSTRACT
Among recurrent pleural effusions a role of remarkable importance is held by those combined with ascitis due to the difficulty of their treatment, even using widely tested techniques. The incidence of such pathology varies from 4% to 6% of patients suffering from cirrhotic pathology, reaching 10% in cases with advanced illnesses. Pleural effusions involve the right emithorax more frequently than the left one, but it can show up bilaterally too. Its etiopathogenesis is tied up to the direct passage of ascitic liquid into the chest and, during the past years, numerous theories have been described to explain this migration. The Authors report the case of a patient with interesting considerations for the diagnostic difficulties and the peculiarity of the treatment performed.