Presentation
He presented to us in May, 1987, with a subscapular tumor which had been growing over the last 5 years. [ncbi.nlm.nih.gov]
Entire Body System
- Collapse
Shows a partial pulmonary collapse and a residual extra-thoracic air chamber. (C) Late postoperative, 2-years follow-up. A complete and stable collapse of the lesions is observed. Collapse was confirmed by CT scans shown in c1-c2. [oatext.com]
[…] therapy for TB Frequently used as a last resort in gravely ill patients Collapse therapy was based, at least in part, on the observation that healed tuberculous cavities were closed and not open The therapies were directed towards closing the cavities [learningradiology.com]
When this was achieved sufficient for closing the cavities collapse and conversion of permanent surgical collapse. [russianpatents.com]
'Collapse therapy' was practiced in several forms: pneumothorax therapy, pneumoperitoneum, plombage, and thoracoplasty. This article focuses on the latter two modes of therapy, plombage and thoracoplasty, and their late complications. [scholars.northwestern.edu]
It involves multiple osteotomies on several ribs and then collapsing them into the space to be obliterated; however, this results in a distorted and asymmetrical chest wall. [ncbi.nlm.nih.gov]
- Pain
The most significant drawback is increased pain in the rib area during recovery. [curvedspine.com]
Yes it WAS painful, but that’s not much of a surprise really bearing in mind I had 4 broken ribs! It hurt to breathe, sneeze, laugh, move!! I would say the costoplasty pain was worse than the pain from my spine and lasted about 6 months. [helpformyscoliosis.com]
In addition, a rib hump can be quite painful, so removing it may reduce or relieve the pain associated with the condition. [wisegeek.com]
Management Frontiers in Medicine Epidemics Zika Virus Ebola Virus View all topics Health Policy Epidemics Pain Management Ebola Virus Multimedia Multimedia Selected Multimedia View all multimedia Audio Clinical Practice Audio Interviews Interactive Medical [nejm.org]
PURPOSE: Indications for surgical treatment for patients with pectus excavatum and carinatum are psychosocial issues, pulmonary or cardiac limitations or pain. [ncbi.nlm.nih.gov]
- Surgical Procedure
We report an 81-year-old patient who underwent a plombage thoracoplasty with balls at the age of 35; at the moment of examination in our unit, the patient had no chest complaints and no complications related to the surgical procedure was noted. [ncbi.nlm.nih.gov]
Thoracoplasty is a surgical procedure that helps to reduce rib hump size. The procedure involves partially removing as many as five ribs. This procedure is usually performed as part of the scoliosis surgery, but it may be performed at a later time. [spine7.ru]
Advances in medical treatments have nearly eliminated the need for this surgical procedure in pulmonary tuberculosis and it is rarely performed or taught in modern day surgical practice. [thieme-connect.com]
Thoracoplasty involves the surgical removal (resection) of rib segments. More specifically, this surgical procedure involves shortening certain ribs in the thoracic or chest area. [iscoliosis.com]
- Fatigue
• Non-invasive ventilation reduces the work of breathing, alleviates respiratory muscle fatigue, relieves dyspnea, lessens sleep-induced desaturation, and improves overall prognosis • Improvements in VC, maximal inspiratory pressure, maximal expiratory [docsity.com]
Chronic rejection is the most common problem, and typically begins with symptoms of fatigue and a vague feeling of illness. Treatment is difficult, and the results are unrewarding. [encyclopedia.com]
Respiratoric
- Dyspnea
An 80-year-old man with dyspnea on effort and hemoptysis consulted our hospital. [ncbi.nlm.nih.gov]
• Airway obstruction becomes more prevalent with aging and is associated with carbon dioxide retention, hypoxemia, and complaints of dyspnea. [docsity.com]
Complete unilateral thoracoplasty may be associated with dyspnea or chest discomfort 5. [radiopaedia.org]
Medical image Samuel Copeland MD Corresponding author: Samuel Copeland Contact Information: [email protected] DOI: 10.12746/swrccc.v5i19.393 C ASE This patient presented to the emergency center with two days of fever, dyspnea, and productive [pulmonarychronicles.com]
Dyspnea— Difficulty breathing. Hemothorax— Blood in the pleural cavity. [encyclopedia.com]
- Pleural Effusion
Results: Reasons CNEP: purulent inflammation of the lungs with bronhopleural fistula and residual pleural cavity were found in 125 (60.38%) patients; suppuration of hemathorax - in 28 (13.53%), suppuration of pleural effusion - in 22 (10.64%); complications [erj.ersjournals.com]
Two weeks later, this acutely sick patient was referred to thoracic surgery when he presented with right side chest pain, fever and right pleural effusion with air fluid level on chest roentgenogram (Figure 1 A, B). [ispub.com]
Accumulation of pleural effusion and the presence of a space were confirmed in the right thorax ( Figure 3A ). After inserting a drainage tube, purulent effusion and air leaks were confirmed. [jtd.amegroups.com]
If the patient goes into respiratory distress after drains and chest tubes are removed, consider checking for acute reaccumulation of the pleural effusion with compression of the lung. [neupsykey.com]
Musculoskeletal
- Chest Deformity
Cardiovascular surgery is challenging in patients who have previously undergone thoracoplasty because of severe chest deformity and impaired pulmonary function. [ncbi.nlm.nih.gov]
- Hip Pain
Utilize the very latest approaches in hip surgery including hip resurfacing, hip preservation surgery, and treatment of hip pain in the young adult; and get the latest information on metal-on-metal hips so you can better manage patients with these devices [books.google.com]
Neurologic
- Stroke
Risks Respiratory failure, hemorrhage, nerve injury, heart attack, stroke, embolism, and infection are all possible complications of general thoracic surgery. [encyclopedia.com]
Workup
Pleura
- Pleural Effusion
Results: Reasons CNEP: purulent inflammation of the lungs with bronhopleural fistula and residual pleural cavity were found in 125 (60.38%) patients; suppuration of hemathorax - in 28 (13.53%), suppuration of pleural effusion - in 22 (10.64%); complications [erj.ersjournals.com]
Two weeks later, this acutely sick patient was referred to thoracic surgery when he presented with right side chest pain, fever and right pleural effusion with air fluid level on chest roentgenogram (Figure 1 A, B). [ispub.com]
Accumulation of pleural effusion and the presence of a space were confirmed in the right thorax ( Figure 3A ). After inserting a drainage tube, purulent effusion and air leaks were confirmed. [jtd.amegroups.com]
If the patient goes into respiratory distress after drains and chest tubes are removed, consider checking for acute reaccumulation of the pleural effusion with compression of the lung. [neupsykey.com]
Treatment
The arterial PO2, PCO2, mean nocturnal oxygen saturation, vital capacity, and maximal inspiratory and expiratory pressures had all improved at the time of the initial post-treatment assessment (mean 12 days after starting treatment), but no subsequent [ncbi.nlm.nih.gov]
Prognosis
CONCLUSIONS: These results show that, even when ventilatory failure has developed, the prognosis with non-invasive assisted ventilation is good and the physiological abnormalities can be partially reversed. [ncbi.nlm.nih.gov]
The hospital mortality was 7.6% in our series; it may have been lower due to younger age group and exclusion of post-oesophageal perforation empyema, which usually carries a poorer prognosis. [ayubmed.edu.pk]
• Non-invasive ventilation reduces the work of breathing, alleviates respiratory muscle fatigue, relieves dyspnea, lessens sleep-induced desaturation, and improves overall prognosis • Improvements in VC, maximal inspiratory pressure, maximal expiratory [docsity.com]
If the long-term prognosis for the patient is poor, he or she may be better served by a one-stage TPL rather than a multiple-stage muscle flap procedure and a prolonged period of hospitali- zation. 24, 25 To be effective, the classic extrapleural TPL [thoracickey.com]
Etiology
The purposes of this study are to identify potential etiologies for compression of the brachial plexus after expansion thoracoplasty and to suggest strategies to reduce the incidence of this complication. [ncbi.nlm.nih.gov]
Pectus excavatum Docsity.com • The etiology is unknown. [docsity.com]
Pathophysiology
Docsity.com • Problems include – bar displacement or rotation requiring reoperation, – pneumothorax, – Pericarditis, and – Infection • Surgical repair provides cosmetic benefits and may positively affect the psychosocial well-being of the patient • The pathophysiologic [docsity.com]
Prevention
By means of every possible treatment, hemostasis should be obtained to secure the airway as well as to prevent blood loss. We describe an emergency pneumonectomy for massive hemoptysis from destroyed lung in a patient with previous thoracoplasty. [ncbi.nlm.nih.gov]
Elastic straps are attached to specific places on the patient, and the patient must lie in a certain position to prevent the development of scoliosis. X-rays of before the surgery and after the first stage of surgery are shown. [wellcomelibrary.org]
Doing so will prevent the ribs from rubbing against the internal organs of the chest and reduce the chances that fluid will collect in the chest cavity, calling for a chest tube. [wisegeek.com]