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The modern use of thoracoplasty

, : The modern use of thoracoplasty. Annals of Thoracic Surgery 40(2): 181-187

Thoracoplasty is a time-honored but, at present, rarely indicated procedure for reducing thoracic cavity vol. This study reviews a series of 30 patients treated with thoracoplasty over a 14 yr period (1970-1983). Indications were to close a persistent pleural space in 28 patients and to tailor the thoracic cavity to accept diminished lung volume concomitant with a pulmonary resection in 2 patients. Persistent pleural space, often associated with a bronchopleural fistula (24 patients), occurred after operation in 19 patients: following pulmonary resection in 17 patients, resection of mesothelioma in 1 patient and following decortication without resection in 1. In the remaining 9 patients with a persistent pleural space, problems, developed from primary lung destruction due to tuberculosis (4 patients), postpneumonic empyema (1 patient) or as late infection of a residual pleural space many years after therapeutic pneumothorax and collapse therapy for tuberculosis (4 patients). The overall success rate of thoracoplasty in eliminating intrathoracic space problems was 73%. There was 3 deaths (10%) and 5 failures to heal, representing a 33% failure rate in the 1s half of the series (to 1976) and a 17% failure rate thereafter (1 death and 1 nonhealing patient). The primary underlying disease was tuberculosis in 23 patients, 8 of whom had concomitant aspergilloma and 1, atypical tuberculosis. The failures were analyzed and reviewed to clarify the principles for the successful use of thoracoplasty. Thoracoplasty is a rarely required salvage-type procedure applicable to moderately debilitated patients in whom it is considered desirable to eliminate open drainage. Timing, appropriate staging and anatomical understanding of thoracoplasty are important in achieving its goal of obliteration of space and final resolution of empyema.

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Accession: 006719545

PMID: 4026450

DOI: 10.1016/S0003-4975(10)60016-1

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Ferreira, V.P.; Sial, A.N.; Peralta, S.; Gaucher, C.; Toselli, A.J.; Parada, M.; Pimentel, M.M., 2009: SPICE-SNICE couplet in one same section, Precordillera of Argentina; C and Sr-isotope stratigraphies. Geochimica et Cosmochimica Acta 73.13S: A371

Hoese, DF.; Larson, HK., 1980: Family Gobiidae. Gobies. Unknown

Kuznetsov, V.A.; Fedorov, I.V., 1990: Gastric motility and post-gastrectomy dumping syndrome. A direct relationship was revealed between disorders of gastric motility before the operation and the frequency and severity of the post-gastrectomy dumping syndrome in patients with peptic ulcer. The level of increase in the frequency and amplitu...

Singh, J.; Bora, I.P.; Baruah, A., 2003: Changes in the physico-chemical properties of soil under shifting cultivation with special reference to Karbi Anglong district of Assam. The effect of shifting cultivation on changes in the physico-chemical properties of soils was studied in the jhum and nearby natural forest areas in Jilanso, Assam, India. The soil properties investigated were bulk density, texture, pH, hydraulic...

Pickerill, R.K.; Narbonne, G.M., 1995: Composite and compound ichnotaxa; a case example from the Ordovician of Quebec, Eastern Canada. Ichnos il; 4(1): 53-69

Von Seggern, C.E.; Cotter, R.J., 2003: Fragmentation studies of noncovalent sugar-sugar complexes by infrared atmospheric pressure MALDI. An investigation of sugar-sugar noncovalent complex fragmentation was conducted using a 2.94 microm Er:YAG laser for infrared (IR) atmospheric pressure matrix-assisted laser desorption/ionization (AP MALDI) on an ion trap mass spectrometer (ITMS)....

Bao, B.; Peatman, E.; Xu, P.; Li, P.; Zeng, H.; He, C.; Liu, Z., 2005: The catfish liver-expressed antimicrobial peptide 2 (LEAP-2) gene is expressed in a wide range of tissues and developmentally regulated. Antimicrobial peptides (AMPs) are important components of the host's innate immune response against microbial invasion. The cysteine-rich AMPs such as defensin and hepcidin have been extensively studied, but the recently identified cysteine-r...

Fung D.Y.C.; Kastner C.L.; Lee C Y.; Hunt M.C.; Dikeman M.E.; Kropf D.H., 1981: Initial chilling rate effects on bacterial growth on hot boned beef. The chilling rate of hot-boned beef required to control bacterial growth during storage and display was studied. Hot-boned cuts were chilled to C by 3, 5, 9 and 12 h after their removal from the carcass. Cuts were vacuum-stored at 2.2.d...

Keadle, S.Kozey.; Shiroma, E.J.; Freedson, P.S.; Lee, I-Min., 2015: Impact of accelerometer data processing decisions on the sample size, wear time and physical activity level of a large cohort study. Accelerometers objectively assess physical activity (PA) and are currently used in several large-scale epidemiological studies, but there is no consensus for processing the data. This study compared the impact of wear-time assessment methods and u...

Reisinger, E., 1926: Zur Turbellarienfauna der Antarktis. Deutsche Sudpolar Expedition Berlin and Leipzig Zool Ser, 18: 417-462