1,720,988 research outputs found
Using titanium or meshplate for chest wall reconstruction: report of 6 cases and literature review.
No full textThe Role of Video-Assisted Thoracic Surgery in the Diagnosis and Treatment of Indeterminate Pulmonary Lesion.
No full textPoland's Syndrome with Spontaneous Pneumothorax: Report of Two Cases
No full textPoland's syndrome is all uncommon congenital anomaly of the chest wall characterized by the absence of the pectoralis major Muscle and other nearby musculoskeletal components. Many associated aberrations over the thoracic cage, intrathoracic organs, and Upper limbs have been reported. However, spontaneous pneumothorax in these patients has not been reported. Here, we describe two patients with both Poland's anomaly and spontaneous pneumothorax. One patient was a 16-year-old boy with left chest wall hypoplasia and pneumothorax oil the right with right chest wall hypoplasia , hand e other was a 27-year-old man side. The brachydactyly, and pneumothorax, Pneumothorax in both patients vas treated with bullectomy and mechanical pleurodesis with the aid of videothoracoscopy, and the postoperative courses were smooth . Blood supply disruption has been hypothesized as a pathogenic mechanism of both spontaneous pneumothorax and Poland's syndrome, suggesting all association between these two diseases
Primary Leiomyosarcoma of the Nipple-Areola Complex: Report of a Case and Review of Literature
No full textPrimary leiomyosarcoma of the nipple-areola complex is extremely rare. Less than ten such cases have been reported in English literature so far. Herein we describe a 52-year- old female presenting with a 1.5 cm x 1.1 cm x 0.7 cm nodular lesion over her left nipple, and leiomyosarcoma was proved by pathological examination of the excised specimen. Positron emitted tomogram ( PET) revealed no abnormal signal other than the primary site. Microscopically, this poorly circumscribed tumor was composed of interlacing bundles of smooth muscle cells with bizarre and pleomorphic nuclei, as well as prominent nucleoli. Its mitotic count was up to 7 mitoses per 10 high power fields (HPF). Immunohistochemical study of tumor cells revealed positive stain for alpha- smooth muscle actin and vimentin ; and negative for cytokeratin, CD34 and S-100. Left simple mastectomy was undertaken and no residual mass lesion was noted on the resected specimen . Related literatures about the diagnosis and treatment for breast leiomyosarcoma will be presented here
Effects of thermal preconditioning on the ischemia-reperfusion-induced acute lung injury in mini pigs
No full text體外膜 氧合器支持原發性肺高壓病人的單側肺臟移植
No full textDue to the advantages of optimal use of donor organs and relative simplicity of the surgical procedure, single lung transplantation (SLTx) has become the preferred transplantation procedure for end-stage primary pulmonary hypertension (PPH).1 In fact, SLTx for end-stage PPH can get good result of low operative mortality; immediate, complete , and durable amelioration of pulmonary hypertension.1-3 However, critical postoperative care of patients undergoing SLTx for PPH is still a big medical challenge .4 The main difficulty is from the reperfusion edema of the transplanted lung, which can result in a potentially fatal respiratory failure. 5, 6 Cardiopulmonary support is always needed during SLTx for PPH. Conventional cardiopulmonary bypass ( CPB) through the femoral route or intrathoracic route used to be applied for this indication. However, the conventional CPB is not completely benign. There are significant complications of bleeding tendency and early graft dysfunction from its use.7 We reported our experiences of using extracorporeal membrane oxygenation (ECMO) instead of the conventional CPB in SLTx for PPH and extending its use into the early postoperative period. By this method, we prevented major complications of CPB and made easier the early postoperative critical care in patients undergoing SLTx for PPH
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