Indwelling pleural catheters (IPCs) are increasingly being used for patients with recurrent malignant pleural effusions. They are simple to place and can be done on an outpatient basis under local anesthesia. IPCs uniformly relieve dyspnea and improve quality of life of patients with malignant pleural effusions. In some patients with recurrent non-malignant pleural effusions (chylothorax,…
Early diagnosis of lung cancer plays a pivotal role in reducing lung cancer death rate. Cytological techniques are safer, economical and provide quick results. Bronchoscopic washing, brushing and fine needle aspirations not only complement tissue biopsies in the diagnosis of lung cancer but also comparable. Lung cancer is one of the most prevalent and lethal…
Rigid bronchoscopy is the traditional method of diagnosis and management of foreign body (FB) aspiration in children. In optimized clinical settings, flexible bronchoscopy can be considered a feasible procedure for the removal of airway FBs using a laryngeal mask airway as a conduit in children. FB in adults is not rare in adults and, even if there are no clinical or radiological findings,…
Hyperhidrosis (HH) and facial blushing (FB) cause severe embarrassment, presenting not only psychological and social problems but also educational and occupational handicaps. Sympathicotomy has proved to be a good choice of treatment. Compensatory sweating (CS) is the most common complication of sympathicotomy, it develops in about 30–75% of patients and may be troublesome in 5%.The main disadvantage…
One operation used to treat esophageal cancer is esophagectomy. During esophagectomy, surgeon removes the portion of your esophagus that contains the tumor, along with a portion of the upper part of your stomach, and nearby lymph nodes. The remaining esophagus is reconnected to your stomach. SURGICAL PROCEDURES ICU Stay: 1 day HOSPITAL Stay: 5-7 days TOTAL Stay in TURKEY (range in DAYS*; unless any other…
Surgeons dealing with esophageal disease should be competent in using both the rigid and the fiberoptic esophagoscope. An esophagoscopy is a procedure that allows your doctor to examine the inside of your esophagus using a long thin instrument called an endoscope. The endoscope contains a light and a camera that transmits pictures of the inside of your…
Pectus excavatum, which is the most common chest wall deformity and is characterized by depression of the sternum. Pectus excavatum (PE), or “funnel chest,” is a deformity of the chest wall characterized by a sternal depression. The clinical significance of PE depends on three issues: ●Severity of the chest wall defect ●Cardiopulmonary morbidity ●Psychosocial impact,…
Chest wall resection and reconstruction is the primary surgical option for chest wall tumors. This surgery involves the removal of one or more ribs to extract the tumor, followed by reconstruction to recreate a normal appearance after invasive surgery. Chest wall tumors are a heterogeneous group of lesions that provide an interesting diagnostic and therapeutic challenge for surgeons. They make up less than…
Pleurectomy, with decortication (P/D) when required, provides both a tissue diagnosis and effective control of pleural fluid accumulation and therefore excellent palliation in patients with pleural mesothelioma. We advocate early thoracotomy (VATS – video assisted thoracic surgery) in these patients. Although the existing evidence is limited and of low quality, it suggests that P/D patients…
