Subject(s)
Tuberculosis, Pulmonary/surgery , Anti-Bacterial Agents/therapeutic use , Antitubercular Agents/therapeutic use , Humans , Lung/diagnostic imaging , Radiography , Time Factors , Tuberculosis, Pleural/diagnostic imaging , Tuberculosis, Pleural/drug therapy , Tuberculosis, Pleural/surgery , Tuberculosis, Pulmonary/diagnostic imaging , Tuberculosis, Pulmonary/drug therapySubject(s)
Lung Diseases/complications , Pleural Diseases/complications , Shock, Septic/surgery , Adult , Emergencies , Female , Humans , Male , Middle Aged , Shock, Septic/etiologySubject(s)
Lung/abnormalities , Follow-Up Studies , Humans , Infant , Lung/diagnostic imaging , Lung/surgery , Pneumonectomy , RadiographySubject(s)
Antibiotics, Antineoplastic/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Biological Products , Bronchial Neoplasms/therapy , Lung Neoplasms/therapy , Bronchial Neoplasms/mortality , Combined Modality Therapy , Cyclophosphamide/administration & dosage , Drug Evaluation , Female , Humans , Lung Neoplasms/mortality , Male , Methotrexate/administration & dosage , Pneumonectomy , Postoperative Care , Procarbazine/administration & dosage , Thymus Extracts/administration & dosage , Time Factors , Vincristine/administration & dosageSubject(s)
Thoracic Neoplasms/surgery , Chondroma , Female , Hemangioma , Humans , Lipoma , Male , Neurilemmoma , Osteoma, Osteoid , Osteosarcoma , Ribs , SternumSubject(s)
Tuberculosis, Pleural/surgery , Tuberculosis, Pulmonary/surgery , Adolescent , Child , Child, Preschool , Female , Humans , MaleSubject(s)
Bronchiectasis/surgery , Adolescent , Adult , Bronchiectasis/diagnostic imaging , Bronchiectasis/pathology , Child , Female , Humans , RadiographyABSTRACT
An analysis is presented, of the experience acquired in the Clinic for Thoracic Surgery from Bucharest in the surgical treatment of thoracal empyema by the Andrews type thoracopleuroplastia. The advantages of the surgical technique are stressed, after the modifications introduced by the authors, in contrast with other surgical techniques used, such as successive-type thoracoplastia, topographical thoracoplastia, plastron removal, etc. Careful preoperative preparation is recommended, and surgical indications are indicated and the major technical and tactical principles of the intervention are described. The Clinic's experience is based on 281 interventions. Of these 206 cases were of bacillary origin and 75 were non-bacillary. The etiologic forms of these empyemas are also analyzed. In such interventions the mortality was under 1%. Recidives were noted in approximately 1% of the cases and postoperative complications were solved without raising particular difficulties. These results recommend the thoracoplastia type intervention as the choice technique in a large number of thoracic empyemas.
Subject(s)
Empyema, Tuberculous/surgery , Empyema/surgery , Thoracoplasty , HumansSubject(s)
Tuberculosis, Pleural/diagnosis , Adult , Female , Humans , Middle Aged , Postoperative Complications , Prognosis , Tuberculosis, Pleural/surgeryABSTRACT
On the basis of their personal experience, covering approximately 100 cases of oeso-thoracal fistulae of various origins and with different anatomo-pathological forms, the authors present a case of oeso-tracheal fistula of congenital origin, in a child aged 4 years, that recovered after surgery. The practical aspects of surgery are stressed, as well as the sequence of surgical stages, evaluating the fact that gastrostomy should be carried out simultaneously, at the end of the thoracal intervention.