ABSTRACT
Pleura, diaphragm, pericardial fat pad, intercostal muscles and omentum can be used to protect and revascularize the bronchial suture line. To compare the efficiency of pleura, diaphragm and omentum, an experimental study was designed. Heterotopic tracheal autotransplantation was performed in 15 rats. Animals were divided into three groups; omentum, diaphragm and pleura. Tracheal Segment Necrosis Scoring System was used for pathologic examinations. Pleural and diaphragmatic groups showed the least necrosis and there was significant statistical difference among these groups and omental group (P < 0.05). Our study showed that pleura and diaphragm could be used as safely as omentum for protection and survival of bronchial suture lines.
Subject(s)
Diaphragm/transplantation , Omentum/transplantation , Pleura/transplantation , Trachea/surgery , Analysis of Variance , Animals , Disease Models, Animal , Graft Survival , Rats , Rats, Wistar , Sensitivity and Specificity , Survival Rate , Tissue Transplantation/methods , Trachea/pathology , Transplantation, AutologousSubject(s)
Intercostal Muscles/innervation , Intercostal Nerves/injuries , Neurophysiology/methods , Pain, Postoperative/physiopathology , Thoracotomy/adverse effects , Evoked Potentials, Somatosensory , Humans , Intercostal Muscles/surgery , Intercostal Nerves/physiopathology , Nociceptors/injuries , Nociceptors/physiopathology , Pain Threshold/physiology , Pain, Postoperative/etiology , Reflex, AbdominalSubject(s)
Thoracic Injuries/therapy , Wounds, Nonpenetrating/therapy , Adolescent , Humans , Male , ThoracotomyABSTRACT
Isolated primary chylopericardum is known to be a rare clinical entity. A 17-year-old girl was diagnosed as isolated primary chylopericardium. She was unresponsive to conservative treatment with pericardial tube drainage and medium chain triglyceride diet. At 2 weeks after the conservative treatment, ligation and resection of the thoracic duct with establishment of a pericardial window through a left thoracotomy was performed. At 6 months, follow-up showed no accumulation of the pericardial fluid. This case also supports that ligation and resection of the thoracic duct with establishment of a pericardial window is the treatment of choice in isolated primary chylopericardium.
