1,720,975 research outputs found

    Survey on chest drainage systems adopted in Europe.

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    The aim of this survey, promoted by the European Society of Thoracic Surgeons, was to acquire information and advice from 'the field' in order to promote development of technology for thoracic surgery and to provide information for future guidelines on chest drainage. Society members were offered a questionnaire on the European Society of Thoracic Surgeons website (November 2006) composed of seven sections comprehending 21 detailed items. The questionnaire was completed by 120 centres, 100% performed lung surgery, 91.6% mediastinal surgery, 54.1% oesophageal surgery, 10% cardiothoracic surgery. The PVC straight drain (mean 55.9%) and silicon drain (mean 38.4%), water-valve/water suction disposable chest drainage collection system (mean 43.4%), one bottle (mean 24.8%), and two bottles with suction control (mean 18.2%), were the most frequently used. After pneumonectomy 51.2% used a balanced drainage system, 9% periodical thoracocentesis, 39.8% others. In 57.5-92% drainage suction was stopped 4 postoperative days. In 17.6-60.7% drains were removed 4 postoperative days. The survey demonstrates a trend toward the use of updated technical devices, high consideration of the costs, and clinical practice based on personal preferences

    Effectiveness of antireflux surgery (fundoplication) for the care of chronic cough ± associated with GOR symptoms

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    Objectives The outcome of surgical therapy for atypical extra-oesophageal symptoms allegedly secondary to GORD is controversial. Aim of this study was to assess the results of antireflux surgery in patients affected by 1) typical, 2) typical + atypical, (chronic cough), in whom a dedicated preoperative work up was performed. Methods Between 1995-2010, 151 patients with GORD-related typical andtor atypical symptoms were submitted to antireflux surgery. 100% preoperatively underwent semi-quantitative evaluation of typical/atypical symptoms, chronic cough and oesophagitis, barium swallow, endoscopy and histology and oesophageal manometry, (24 hour pH-recording or intraluminal impedance/pH monitoring system in the absence of gross oesophagitis). In addition, patients with chronic cough underwent chest HRCT scan, methacholine challenge test and spirometry. Surgery was performed exclusively on patients positive for GORD and negative for pulmonary diseases. Preoperative tests for GORD were repeated at follow-up. Results Patients were ordered into two groups: A) 83 patients with typical symptoms only, B) 68 patients with typical symptoms and chronic cough. See table for preoperative clinical and instrumental assessment, type of surgery, morbidity, mortality, follow up and outcomes. In both groups, antireflux surgery demonstrated to significantly improve typical symptoms. The global score for outcome showed no significant differences between group A and B. In group B. antireflux surgery significantly improved chronic cough as well. Conclusions The preoperative work up was highly effective in selecting patients for antireflux surgery which achieved very satisfactory results in the treatment of GORD and GORD-related chronic cough. Disclosure: All authors have declared no conflicts of interest
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