Presentation
The present systematic review aimed to assess the safety and efficacy of these techniques. [ncbi.nlm.nih.gov]
Entire Body System
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Rigor
Elderly patients were less likely to receive neoadjuvant ( CONCLUSIONS: Although age in isolation should not be an exclusion criterion for extended pleurectomy decortication for mesothelioma, in the elderly, a more rigorous preoperative evaluation of [ncbi.nlm.nih.gov]
Rigorous preoperative assessment advisable for older patients with mesothelioma prior to extended pleurectomy decortication Date : 14 Apr 2016 Topic : Lung and other thoracic tumours Although age as an isolated variable did not associate with patient [esmo.org]
Lung and cardiac fitness are tested to make sure your body can withstand the rigors of surgery and recovery. A blood test ensures blood can clot during the operation. [mesotheliomahelpnow.com]
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Severe Pain
Other two grade 3 toxicities were registered: one severe pain to the chest wall, and one severe thrombocytopenia. CONCLUSIONS: Tomotherapy allows the safe delivery of high dose of radiation to the hemithorax of MPM patients with intact lung. [ncbi.nlm.nih.gov]
Abstract BACKGROUND--Persistent severe pain is a rare complication of benign asbestos-related pleural disease. [thorax.bmj.com]
Respiratoric
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Asymmetry of the Chest
It also leads to asymmetry of the chest wall. We evaluated the efficacy of decortication and pleurectomy in improving these adverse consequences. [ncbi.nlm.nih.gov]
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Periodic Breathing
During the early recovery period, breathing support is provided through a tube in the airway that is connected to a respirator. While the tube is in, you will be both unable to speak or ingest fluids. [maacenter.org]
Workup
Pleura
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Pleural Adhesions
In one patient, initial VATS pleurectomy for SSP was abandoned in favour of open pleurectomy because of poor visualisation caused by pleural adhesions. [academic.oup.com]
Prior surgery for pneumothorax is not a contraindication to use of a thoracoscopic approach, as pleural adhesions are relatively few in these patients. [ctsnet.org]
Treatment
The calculated sample size is 360 patients (n 180 per treatment arm) to prove superiority of one of the two treatments. [ncbi.nlm.nih.gov]
Prognosis
Abstract Malignant pleural mesothelioma (MPM) is associated with a very poor prognosis. Unlike other solid tumors, any type of planned surgery for MPM would be cytoreductive rather than radical. There are two types of surgery for MPM. [ncbi.nlm.nih.gov]
The prognosis after a pleurectomy depends on the underlying reason for the procedure. [verywell.com]
Etiology
Indication to operation empyemas of a pleura of various etiology, including a tubercular origin serve hron (see. Pleurisy ). [bigmed.info]
Indexing Status Subject indexing assigned by NLM MeSH Adult; Aged; Analgesics /therapeutic use; Chest Tubes; Cost-Benefit Analysis; Drainage /instrumentation; Female; Humans; Length of Stay; Male; Middle Aged; Pain, Postoperative /etiology /prevention [crd.york.ac.uk]
If tion of a chronic pleural process is atypical and the etiology is poor- malignancy is a concern, this possibility should be excluded before ly defined, a degree of suspicion for malignancy must be main- a decision is made to proceed with decortication [slideshare.net]
Etiology – The cause (s) or origin of disease. Also used as a parameter of classification. Extraosseous tissue – Occurring outside a bone or bones. [lgdalliance.org]
Resection, electrocautery and laser ablation are targeted therapies for the etiology of the air leak. [cochranelibrary.com]
Epidemiology
Malignant Pleural Mesothelioma Although primary pleural tumors have been reported since the eighteenth century, the epidemiology of mesothelioma first came to light in 1960 with the report by Wagner et al. 1 of 33 asbestos mine workers from South Africa [accesssurgery.mhmedical.com]
Epidemiology – The study of the various factors, patterns, and causes which determine the frequency of a disease on the human community. Etiology – The cause (s) or origin of disease. Also used as a parameter of classification. [lgdalliance.org]
Pathophysiology
Physiologic testing with spirometry and evaluation of diffusing PATHOPHYSIOLOGY OF FIBROTHORAX capacity helps define the degree of pulmonary dysfunction and facilitates risk stratification. [slideshare.net]
Prevention
Here, we describe a sophisticated surgical technique of P/D without any pleural incision ("non-incisional P/D") to achieve en bloc removal of the entire pleura and tumor, which may improve postoperative survival by preventing tumor spread. [ncbi.nlm.nih.gov]
Even if the bullae rupture, the air will be trapped in a small pocket and prevent lung collapse. Apical pleurectomy Apical pleurectomy is the stripping of the pleura from the inside. [emedicine.medscape.com]
Physicians run a breathing trial to evaluate the health of the lungs, while coughing exercises are used to prevent fluid buildup and strengthen the diaphragm. [mesotheliomaresearchnews.com]