Relevant bibliographies by topics / Pleural Effusion, surgery

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Pleural Effusion, surgery'

Author: Grafiati
Published: 11 December 2022
Last updated: 24 January 2023

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Journal articles on the topic "Pleural Effusion, surgery"

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Shaik, Imam H., Bindu Gandrapu, Fernando Gonzalez-Ibarra, David Flores, Jyoti Matta, and Amer K. Syed. "Silicone Breast Implants: A Rare Cause of Pleural Effusion." Case Reports in Pulmonology 2015 (2015): 1–3. http://dx.doi.org/10.1155/2015/652918.

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Pleural effusions are one of the rarest complications reported in patients with silicone gel filled breast implants. The silicone implants have potential to provoke chronic inflammation of pleura and subsequent pulmonary complications such as pleural effusion. Herein, we report a 44-year-old female who presented with left sided pleural effusion, six weeks after a silicone breast implantation surgery. The most common infectious, inflammatory, and malignant causes of pleural effusion were excluded with pleural fluid cytology and cultures. With recurrent effusion in the setting of recent surgery, the chemical reaction to silicone breast implants was sought and exploration was performed which revealed foreign body reaction (FBR) to silicone material. The symptoms dramatically improved after the explantation.
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Allama, Amr M., Dalia H. Abou-Elela, and Islam M. Ibrahim. "Pleural and serum markers for diagnosis of malignant pleural effusion." Asian Cardiovascular and Thoracic Annals 28, no. 9 (August 2, 2020): 560–65. http://dx.doi.org/10.1177/0218492320948311.

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Background Differentiation between benign and malignant exudative pleural effusion remains a clinical challenge. Recently, several markers have been reported to increase the diagnostic accuracy of malignant pleural effusion, with controversial results. Methods Patients with exudative pleural effusion were divided into 2 groups: a malignant pleural effusion group (39 patients) diagnosed by malignant cells in pleural fluid cytology or by malignant infiltration of the pleura on pleural biopsy, and a benign pleural effusion group (51 patients) with neither malignant cells in pleural fluid cytology nor malignant infiltration of the pleura on pleural biopsy. Matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 were determined in both serum and pleural fluid samples, using commercially available enzyme-linked immunosorbent assay kits. Results The etiology of malignant pleural effusion in the malignant group was breast cancer in 43.6% and bronchogenic carcinoma in 25.6%. There was a statistically significant difference between the 2 groups regarding sex, with more males in the benign group. There was no significant difference between groups regarding age. The median levels of matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 were higher in the malignant group than in the benign group, and the differences were highly significant in both pleural fluid ( p < 0.001) and serum ( p < 0.001). Conclusion Matrix metaloproteinase-9 and tissue inhibitor of metalloproteinase-1 in serum and pleural fluid samples might be valuable markers for differentiating benign from malignant pleural effusions.
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Adams, Tracy M., Nadia B. Kunzier, Martin R. Chavez, and Anthony M. Vintzileos. "Ultrasound-Guided Retrieval and Position Replacement of a Dislodged Fetal Pleuro-Amniotic Shunt: A Novel Approach for a Known Complication of Feto-Amniotic Shunting." Fetal Diagnosis and Therapy 39, no. 1 (February 6, 2015): 78–80. http://dx.doi.org/10.1159/000371576.

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Untreated fetal pleural effusion can cause significant perinatal morbidity and mortality. Treatment of pleural effusions with pleuro-amniotic shunting has been shown to improve outcomes. Pleuro-amniotic shunting is associated with complications including ruptured membranes, preterm labor and shunt dislodgement into either the amniotic cavity or the fetal thorax. Shunt dislodgement into the thoracic cavity can cause prenatal complications from the shunt itself or may necessitate neonatal surgery for removal. We present a case where a novel ultrasound-guided technique was used to replace the dislodged pleural shunt in utero, thereby effectively draining the effusion while simultaneously obviating the need for neonatal surgery and decreasing possible perinatal complications.
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Anand, Kartik, Shashank Cingam, and Prakash Peddi. "Recurrent Malignant Melanoma Presenting as Isolated Pleural Metastases in a Patient with Chronic Lymphocytic Leukemia." Case Reports in Oncology 10, no. 1 (January 19, 2017): 86–90. http://dx.doi.org/10.1159/000455827.

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Isolated pleural metastasis with pleural effusion is a rare occurrence in malignant melanoma. We report an unusual case of a patient with chronic lymphocytic leukemia (CLL) and recurrent pleural effusions. The pleural fluid cytology and immunohistochemistry profile were consistent with the diagnosis of CLL. However, chemotherapy with pentostatin, cyclophosphamide, and rituximab did not result in any meaningful clinical response. A video-assisted thoracoscopic surgery and biopsy of the affected nodular parietal layer of the pleura were consistent with malignant melanoma. Our case underlines the importance of having a suspicion for secondary causes of effusion in patients with CLL. We briefly discuss the mechanisms of an increased incidence of secondary cancers in CLL and the diagnosis of isolated pleural metastases in malignant melanoma.
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Cakir, Ebru, Funda Demirag, Mehtap Aydin, and Yurdanur Erdogan. "A review of uncommon cytopathologic diagnoses of pleural effusions from a chest diseases center in Turkey." CytoJournal 8 (July 16, 2011): 13. http://dx.doi.org/10.4103/1742-6413.83026.

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Background: After pneumonia, cancer involving the pleura is the leading cause of exudative pleural effusion. Cytologic examination of pleural effusions is an important initial step in management of malignant effusions. The aim of this study is to evaluate the spectrum of uncommon malignant pleural effusions in a chest disease center in Turkey. Materials and Methods: A retrospective study of samples of pleural effusions submitted to Ataturk Chest Diseases and Chest Surgery Education and Research Hospital Department of Pathology between March 2005 and November 2008 was performed. Results: Out of a total of 4684 samples reviewed 364 (7.8%) were positive for cancer cells. Of the malignant pleural effusions 295 (81%) were classified as adenocarcinoma or carcinoma not otherwise specified (NOS). Pleural effusion specimens revealing a diagnosis other than adenocarcinoma/carcinoma NOS were: 32 (8.8%) malignant mesotheliomas, 14 (3.8%) small cell carcinomas, 13 (3.5%) hematolymphoid malignancies and 10 (2.7%) squamous cell carcinoma. Hematolymphoid malignancies included non- Hodgkin lymphoma (diffuse B large cell lymphoma, mantle cell lymphoma), multiple myeloma, chronic myeloid leukemia, and acute myeloid leukemia. Conclusions: Despite that adenocarcinoma is the most common cause of malignant pleural effusions, there is a significant number of hematological and non-hematological uncommon causes of such effusions. Cytopathologists and clinicians must keep in mind these uncommon entities in routine practice for an accurate diagnosis.
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Pranita, Ni Putu Nita. "Diagnosis dan tatalaksana terbaru penyakit pleura." Wellness And Healthy Magazine 2, no. 1 (February 3, 2020): 69–78. http://dx.doi.org/10.30604/well.58212020.

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Pleural effusion is a common problem. Pleural effusion developed as a sequel to the underlying disease process, including pressure/volume imbalance, infection, and malignancy. In addition to pleural effusion, persistent air leak after surgery and bronchopleural fistula remain a challenge by a physician. An understanding of the pleural disease, including its diagnosis and management, has made an extraordinary step. The introduction of molecular detection of organism-specific infections, risk stratification, and improvement in the non-surgical treatment of patients with pleural infection are all within reach and maybe the standard of care shortly. This article discusses the role of existing techniques, and some of the more recent ones, which are now available for establishing the diagnosis of pleural disease. The initial approach to diagnosis usually begins by distinguishing between transudates and exudates, based on the concentration of protein and lactate dehydrogenase (LDH) in pleural fluid. The exact role of amylase and LDH can provide additional information towards the differential diagnosis of various exudative pleural effusions. With newer cytochemical staining techniques in pleural fluid, diagnostic results of malignant pleural effusion can increase by up to 80%. Ultrasound (US) and thoracic computed tomographic (CT) scans have further improved the diagnosis of undiagnosed pleural effusion. The reappearance of thoracoscopy as the latest diagnostic and therapeutic tool (e.g., Pleurodesis) for undiagnosed or recurrent pleural effusions. Management of malignant pleural effusion continues to develop with the introduction of tunneled pleural catheters and chemical pleurodesis procedures. Advances in the diagnostic and therapeutic evaluation of pleural disease and what appears to be an increasing multidisciplinary interest in a doctor managing patients with pleural disease.
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Soong, Laura C., and Richard M. Haber. "Yellow Nail Syndrome Presenting With a Pericardial Effusion: A Case Report and Review of the Literature." Journal of Cutaneous Medicine and Surgery 22, no. 2 (October 25, 2017): 190–93. http://dx.doi.org/10.1177/1203475417738970.

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Yellow nail syndrome (YNS) is a constellation of clinical findings including at least 2 of the 3 features of thickened yellow nails, respiratory tract involvement, and lymphedema. We report the case of a middle-aged man presenting with dystrophic, thickened yellow nails; an idiopathic pericardial effusion in the absence of pleural effusion(s); and unilateral apical bronchiectasis found on computed tomography of the chest. This represents a unique presentation of YNS as the first report of a patient with YNS and a pericardial effusion in the absence of pleural effusions and lymphedema and is the 11th case report of YNS with pericardial effusion.
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Stevic, Ruza, Nikola Colic, Slavisa Bascarevic, Marko Kostic, Dejan Moskovljevic, Milan Savic, and Maja Ercegovac. "Sonographic Indicators for Treatment Choice and Follow-Up in Patients with Pleural Effusion." Canadian Respiratory Journal 2018 (October 30, 2018): 1–6. http://dx.doi.org/10.1155/2018/9761583.

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Aim. The aim of this study was to evaluate the role of thoracic sonography in treatment of pleural effusions and to identify sonographic indicators for surgical intervention. Materials and Methods. This study included 378 patients with pleural effusions. US characteristics of effusions as the echo structure and pleural thickening were analyzed. Regarding the US finding, the diagnostic or therapeutic procedure was performed. Results. The study included 267 male and 111 female patients, an average of 56.7 years. Infection was the most frequent cause of effusion. Two hundred sixty-nine patients had loculated and 109 free pleural effusion. Most frequent echo structure of loculated effusion was complex septate, whereas free effusion was mostly anechoic. Successful obtaining of the pleural fluid without real-time guidance was in 88% and under real-time guidance in 99% patients (p<0.012). There was no significant difference in success rate between free and loculated effusion and regarding the echo structure (p=0.710 and 0.126, respectively). Complete fluid removal after serial thoracentesis or drainage was achieved in 86% patients. Forty-five patients with significantly thicker pleural peel and impairment of the diaphragmatic function than remaining of the group (p<0.001) underwent surgery. Open thoracotomy and decortication was more frequently performed in patients with completely fixed diaphragm and complex, dominantly septated effusions. There is no significant difference in US parameters comparing to patients underwent VATS, but the number of VATS is too small for valid conclusion. Conclusion. Thoracic sonography is a very useful tool in the evaluation of clinical course and treatment options in patients with pleural effusions of a different origin.
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Reynolds, SP, AR Gibbs, R. Weeks, H. Adams, and BH Davies. "Massive pleural effusion: an unusual presentation of Castleman's disease." European Respiratory Journal 5, no. 9 (October 1, 1992): 1150–53. http://dx.doi.org/10.1183/09031936.93.05091150.

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Giant lymph node hyperplasia (Castleman's Disease) is a rare cause of pleural effusion. We report the case of a 51 yr old West Indian male, who presented with a recurrent massive pleural effusion, due to a tumour arising from the pleura. He underwent parietal pleurectomy and subtotal excision of the tumour. Histological analysis of the specimen showed the features of multicentric Castleman's disease. Nine months following surgery he remains well, with no recurrence of the effusion.
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Trivedi, Surbhi B., and Matthew Niemeyer. "Treating Recurrent Pleural Disease: A Review of Indications and Technique for Chemical Pleurodesis for the Interventional Radiologist." Seminars in Interventional Radiology 39, no. 03 (June 2022): 275–84. http://dx.doi.org/10.1055/s-0042-1754349.

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AbstractPleural space diseases such as recurrent pleural effusion and pneumothorax inflict a significant symptomatic burden on patients. Guidelines and studies are available to guide best practices in the setting of refractory effusions, mostly in the setting of malignancy, and recurrent pneumothorax. Less data is available to guide management of refractory transudative effusions. Recurrent pleural effusions can be treated with tunneled pleural catheters or catheter-based pleurodesis. While refractory transudative effusions can benefit from tunneled pleural catheter, this is an area of ongoing research. Regarding recurrent pneumothorax, video-assisted thoracoscopic surgery (VATS) pleurodesis using mechanical or laser/argon beam coagulation is the most effective means of preventing recurrence. Catheter based pleurodesis, a less invasive means of administering chemical sclerosant via percutaneous thoracostomy tube, is only used when surgery is not an option. However, both approaches induce inflammation of the pleural space, resulting in adherence of the parietal and visceral pleura to prevent fluid or air re-accumulation. This article will discuss catheter based chemical pleurodesis geared toward the interventional radiologist, including a review of disease processes and indications, technique, and strategies to mitigate complications as well as a literature review comparing percutaneous chemical pleurodesis to other therapies.
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Dissertations / Theses on the topic "Pleural Effusion, surgery"

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Knebel, Rogério. "Toracoscopia vídeo-assistida para crianças com derrame parapneumônico complicado : quando indicar?" reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2012. http://hdl.handle.net/10183/129613.

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Objetivo: Avaliar a efetividade e o momento ideal da realização da toracoscopia vídeoassistida (TVA) para o tratamento de crianças com derrame pleural parapneumônico complicado (DPPC), bem como determinar se a drenagem torácica realizada como procedimento inicial pode influenciar os resultados da TVA. Métodos: Estudo retrospectivo de 79 crianças (idade média de 35 meses) submetidas à TVA, entre janeiro de 2000 e dezembro de 2011. Os pacientes foram tratados com o mesmo algoritmo de tratamento e os procedimentos cirúrgicos foram realizados ou supervisionados pelo mesmo cirurgião. As crianças foram divididas em dois grupos de acordo com o intervalo de quatro dias entre o diagnóstico do DPPC e a cirurgia. Resultados: Pacientes operados até o 4º dia após o diagnóstico do DPPC apresentaram menor tempo de internação (p=0,008), de uso de antibióticos (p=0,023) e de uso de dreno torácico (p=0,019), além de serem submetidos a menor número de procedimentos cirúrgicos (p<0,001). A drenagem pleural prévia retardou a realização da TVA em três dias, com consequente aumento no tempo de internação (p=0,050), no tempo de permanência do dreno torácico (p<0,001) e no tempo cirúrgico da TVA (p<0,001). TVA foi eficaz em 73 crianças (92,4%). Nem o intervalo entre o diagnóstico e a cirurgia, nem a drenagem pleural prévia, influenciaram a taxa de insucesso da TVA. Conclusões: TVA é um procedimento altamente efetivo em crianças com DPPC. TVA realizada até quatro dias após o diagnóstico do DPPC está associada à redução nos tempos de internação, de permanência do dreno torácico e do uso de antibióticos, além de diminuição no número de intervenções invasivas.
thoracoscopic surgery (VATS) in the treatment of children with complicated parapneumonic pleural effusion (CPPE) and to determine whether the use of initial chest tube drainage (CTD) may influence VATS outcome. Methods: We retrospectively reviewed medical records of 79 children (mean age, 35 months) undergoing VATS from January 2000 to December 2011. The same treatment algorithm was used in the management of all patients, and all surgical procedures were performed or supervised by the same surgeon. The children were divided into two groups according to a 4-day interval between CPPE diagnosis and surgery. Results: Patients undergoing VATS within 4 days of CPPE diagnosis had a shorter hospital stay (p=0.008), fewer number of antibiotics administered (p=0.023), and decreased time with a chest tube (p=0.019), in addition to undergoing fewer number of surgical procedures (p<0.001). Initial CTD resulted in a delay of 3 days in performing VATS, leading to longer hospital stay (p=0.050), increased time with a chest tube (p<0.001), and longer VATS operating time (p<0.001). VATS was effective in 73 children (92.4%). The interval from diagnosis to surgery and initial CTD had no influence on VATS failure rate. Conclusions: VATS is a highly effective procedure for treating children with CPPE. VATS performed within 4 days of CPPE diagnosis is associated with shorter hospital stay, decreased time with a chest tube, fewer antibiotics administered, and fewer invasive interventions.
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Chibante, Antonio Monteiro da Silva. "Análise do processo inflamatório agudo no líquido pleural pós-cirurgias de revascularização do miocárdio." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5150/tde-06102014-114705/.

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O derrame pleural pós-revascularização do miocárdio é uma situação freqüente, porém, ainda de etiologia desconhecida, apesar da tendência atual de responsabilizar a agressão direta da pleura como principal fator desencadeante. O objetivo deste estudo é avaliar a participação e comportamento das citocinas TNF-alfa, IL-1E, IL-2, IL-6, IL-8, VEGF e TGF-beta nos derrames pleurais imediatamente após o ato cirúrgico, em três intervalos distintos (2, 24 e 48horas). Foram analisados 43 indivíduos submetidos a revascularização miocárdica e 16 com derrames pleurais transudativos. Na comparação com os transudatos, os resultados obtidos mostraram que TNFbeta e IL-2 não são mobilizados neste tipo de derrame, nas primeiras 48 horas. A IL- 1E se eleva a partir das primeiras 24 horas. As IL-6 e IL-8 se mantêm elevadas, assim como VEGF, enquanto que o TGF-beta se inicia em níveis altos, que decaem a partir das 24 horas e atingem o valor dos transudatos em 48 horas. Quando confrontados com variáveis que poderiam interferir na análise global dos pacientes (sexo, faixa etária, complicações pós-operatórias, CEC e tempo de cirurgia), foram observados níveis elevados de IL-6 e TGF-beta que se relacionaram nas primeiras 2 horas no sexo feminino. O VEGF apresentou-se reduzido, nas primeiras duas horas, em paciente submetidos à circulação extra-corpórea. Concluímos, que o derrame pleural pós-revascularização do miocárdio é um exsudato associado à mobilização das citocinas IL-1E, IL-6, IL-8, VEGF e TGF-beta nas primeiras 48 horas, não parecendo haver relação com circulação extracorpórea nem com faixa etária, tempo de cirurgia e complicações pós-operatórias
Pleural effusion after coronary artery bypass graft (CABG) is a very common finding. Its origin remains unknown, despites the tendency to consider pleural injury as the responsible cause. The purpose of this study is to evaluate the participation and behavior of cytokines TNF-alfa, IL-1E, IL-2, IL-6, IL-8, VEGF and TNF-beta in pleural fluid immediately after 2, 24 and 48 hours after the surgical procedure. Were evaluated 43 surgical patients and 16 transudates (control group). The obtained results showed that TNF-beta and IL-2 are not mobilized and that IL-1E increases after 2 hours from the procedure. Interleukyn-6 and IL-8 presented in expressive levels during 48 hours as well as VEGF. Nevertheless, TGF-beta values increase in the first time (2 hours) and decrease significantly in subsequent times until the transudates levels after 48 hours. The cytokines were confronted with some variables (sex, age, complications, extra-corporal circulation and time of surgical intervention). Interleukin-6 and TGF-beta values increased on the first time (2 hours) in females. In a similar way, only VEGF presented high levels in the firs time (2 hours) in patients not submitted to extracorporeal procedure. We concluded that pleural effusions after CABG are associated with the presence of some cytokines (IL-1E, IL-6, IL-8, VEGF and TGF-beta) on the first 48 hours that do not correlate with age, extra-corporeal circulation, post-surgical complications and time of surgical intervention
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Alves, Adriane Muller Nakato. "Análise dos parâmetros respiratórios de crianças no pós-operatório de cirurgia cardíaca com atelectasia e derrame pleural." Universidade Tecnológica Federal do Paraná, 2013. http://repositorio.utfpr.edu.br/jspui/handle/1/515.

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A análise da mecânica respiratória possibilita verificar o funcionamento pulmonar e as possíveis alterações por alguma complicação ou lesão do pulmão. A análise da gasometria arterial é importante nos ajustes dos parâmetros ventilatórios, possibilitando verificar complicações relacionadas à ventilação. O objetivo principal deste estudo é associar os parâmetros físicos e funcionais do pulmão de crianças de 0 a 1 ano sob ventilação mecânica invasiva no pós-operatório de cirurgia cardíaca através da análise dos parâmetros ventilatórios e da mecânica respiratória com o procedimento radiográfico convencional. No total, 46 crianças foram analisadas nesta faixa etária, porém somente aquelas que apresentaram padrão respiratório e radiografias representativas de atelectasia e derrame pleural foram selecionadas. Das 30 crianças selecionadas, 10 apresentam atelectasia e 8 derrame pleural (DP). Os dados analisados são de antes e após o surgimento da complicação pulmonar. Os dados das crianças que não apresentaram nenhuma complicação inicialmente foram utilizados para verificar a possibilidade da análise da mecânica respiratória através dos ciclos controlados e a sua relação com os dados da gasometria arterial. Foram coletados dados da mecânica respiratória através do monitor gráfico Inter® GMX e do programa Wintracer e a análise da área do pulmão pela radiografia através do AutoCad® 2012. A análise das ondas controladas do ciclo respiratório em modo assistido controlado dos recém-nascidos mostra que o pH não se altera, em relação ao valor esperado normal. Todos os parâmetros da mecânica respiratória apresentaram alteração entre os estados sem e com complicação pulmonar. Os grupos com atelectasia apresentou significância estatística para redução nos parâmetros de volume corrente (VC), área do pulmão (AP) e pressão parcial de oxigênio arterial (PaO2) e aumento em frequência respiratória (FR) e Tempo em ventilação mecânica invasiva (VMI). No grupo DP a redução foi significativa em AP e houve aumento significativo do Tempo em VMI. Os valores de complacência ficaram abaixo da normalidade para a idade e de resistência acima dos valores considerados normais em todos os grupos. Os resultados do coeficiente de Spearman (ρ) que apresentaram significância estatística entre a AP com os parâmetros pulmonares foram para o grupo com atelectasia no parâmetro de resistência das vias aéreas (RVA) (ρ= -0,648 e P=0,043) e para o grupo com DP no parâmetro complacência estática (Cest) (ρ= 0,786 e P=0,021). Os resultados deste estudo mostram que a análise da mecânica respiratória pode ser realizada diariamente nestas crianças e ser utilizada com frequência, pois possibilita informações importantes do funcionamento pulmonar e esta análise pode ser feita em modo assistido controlado, sem a necessidade de sedar a criança. A estrutura física se correlacionou com a funcionalidade do pulmão. Apesar de nem todos os parâmetros terem sido correlacionados significativamente, existe correlação entre a estrutura do pulmão com sua função.
The analysis of respiratory mechanics allows to check lung function and changes for complication or injury of the lung. The analysis of arterial blood gases is important for adjustments in ventilatory parameters, enabling to check complications related to ventilation. The main objective of this study is to associate physical and functional parameters of the lung in children aged 0 to 1 year old, under mechanical ventilation postoperative cardiac surgery through the analysis of ventilatory parameters, respiratory mechanics with conventional radiographic procedure. In total, 46 children were analyzed in this age, but only those who had respiratory pattern and representative radiographs of the atelectasis and pleural effusion were selected. From 30 selected children, 10 had atelectasis and 8 had pleural effusion (PE). The data were analyzed before and after the onset of pulmonary complication. The data of the children without complication was originally used to check the possibility of analysis of respiratory mechanics through controlled cycles and their relationship to the data of arterial blood gases. Data were collected through the respiratory mechanics monitor and graph Inter ® GMX and program Wintracer and analysis of lung area by radiography through AutoCAD ® 2012. The analysis of the controlled waves of the respiratory cycles in assisted controlled mode of the newborn showed that the potential of hydrogen ionic (pH) does not change relatively to the value expected normal. All parameters of respiratory mechanics showed alterations between states with and without pulmonary complication. Among the groups with atelectasis there was statistically significant reduction in parameters tidal volume (VT), lung area (LA) and partial pressure of arterial oxygen (PaO2) and increase in respiratory frequency (RF) and Time in invasive mechanical ventilation (IMV). For the PE group there was a significant decrease in LA and significant increase in time at IMV. The compliance values were below normal for age and the resistance above normal values in all groups. The results of the Spearman coefficient (ρ) showed statistical significance between the LA with the parameters for the pulmonary atelectasis group in Raw parameters (ρ = -0.648 and P = 0.043) and the group with PE in Cst ( ρ = 0.786 and P = 0.021). The results of this study have shown that the analysis of respiratory mechanics can be performed daily in these children and be used frequently. It allows important information of lung function and can be analyzed in assisted controlled mode without the need of sedating the child. The physical structure correlated with the functionality of the lung, although not all parameters have been well correlated. Also, there is a correlation between the structure of lung and its function.
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Books on the topic "Pleural Effusion, surgery"

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Crimmons, Kevin, and Lorraine Marsons. Thoracic surgery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199642663.003.0025.

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Patients undergoing thoracic surgery for lung cancer need to have a comprehensive pre-operative assessment of their fitness for surgery and operability. Diagnostic assessment involves the evaluation of lung function, biopsy of the lung and lung lining, staging of tumours, removal of lymph nodes, treatment of pleural effusions, and identification of metastases. This chapter discusses the different surgical procedures used in thoracic surgery, post-operative nursing care, and complications associated with these procedures. It also provides an overview of pleural infections and the management of chest drains.
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Choong, Cliff K. C. Management of Benign and Malignant Pleural Effusions, an Issue of Thoracic Surgery Clinics. Elsevier, 2013.

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Astarci, Parla, Laurent de Kerchove, and Gébrine el Khoury. Aortic emergencies. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0061.

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Acute aortic dissections account for the leading and most feared of aortic emergencies. Acute dissections are associated with a dreadful mortality rate; therefore, an accurate diagnosis and immediate treatment are mandatory. The key point of a lifesaving management strategy is the distinction between acute type A dissection, uncomplicated type B dissection, and complicated type B dissection, and those including contained ruptured aorta (severe pleural effusion) and/or malperfusion syndrome (by end-organ ischaemia: paraplegia, intestinal ischaemia, renal insufficiency, limb ischaemia). Type A generally requires urgent surgery; uncomplicated type B dissections are treated conservatively, while complicated type B dissections are currently managed by means of minimally invasive endovascular techniques, eventually associated with a tight surgical time (e.g. in the case of limb ischaemia). Surgical repair of type A dissection consists of the replacement of the ascending aorta. The repair is extended proximally towards the aortic root and valve, and distally towards the aortic arch, in function of the lesions found and the clinical presentation of the patient (haemodynamic status, age, comorbidities). The emergence of endovascular techniques and the contribution of thoracic endovascular aortic repair, with thoracic stent-grafts deployed from the proximal descending aorta to reopen the true lumen and to seal the entry tear in type B dissections, have revolutionized the surgical treatment algorithm in this pathology, and thus the patient’s immediate and medium-term survival. In the same group of acute aortic syndromes, traumatic aortic isthmic ruptures are also life-threatening conditions and account for one of the main causes of death at the time of traumatic accidents. As in the case of complicated type B dissections, the introduction of aortic stent-grafts has changed the outcome of these patients.
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Book chapters on the topic "Pleural Effusion, surgery"

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Bax, Klaas. "Pleural Effusion and Empyema." In Pediatric Surgery, 285–92. Berlin, Heidelberg: Springer Berlin Heidelberg, 2009. http://dx.doi.org/10.1007/978-3-540-69560-8_29.

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Uba, Francis Aba, Eric S. Borgstein, and Donald E. Meier. "Pleural Effusion and Empyema." In Pediatric Surgery, 515–22. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-41724-6_46.

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Singh, Michael, and Dakshesh Parikh. "Pleural Effusion and Empyema." In Pediatric Surgery, 437–45. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-030-81488-5_35.

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Kocher, Gregor J., and Ralph A. Schmid. "Pleural Pathologies and Malignant Effusion." In Tips and Tricks in Thoracic Surgery, 199–213. London: Springer London, 2018. http://dx.doi.org/10.1007/978-1-4471-7355-7_15.

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Li, Xiao, and Mark K. Ferguson. "Optimal Management of Symptomatic Malignant Pleural Effusion." In Difficult Decisions in Surgery: An Evidence-Based Approach, 635–45. London: Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-6404-3_49.

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Putnam, Joe B. "Management of Malignant Pleural Effusion: Sclerosis or Chronic Tube Drainage." In Difficult Decisions in Thoracic Surgery, 414–23. London: Springer London, 2007. http://dx.doi.org/10.1007/978-1-84628-474-8_51.

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Kohman, Leslie J., and Todd L. Demmy. "Management of Malignant Pleural Effusion: Sclerosis or Chronic Tube Drainage." In Difficult Decisions in Thoracic Surgery, 395–400. London: Springer London, 2010. http://dx.doi.org/10.1007/978-1-84996-492-0_45.

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Monnet, Eric. "Pleural Effusions." In Small Animal Thoracic Surgery, 77–87. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2017. http://dx.doi.org/10.1002/9781118943427.ch9.

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Schneider, Thomas. "Benign and Malignant Pleural Effusions." In Chest Surgery, 361–70. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-12044-2_36.

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Cullis, Paul, and Graham Haddock. "Chylothorax and Other Pleural Effusions." In Rickham's Neonatal Surgery, 605–12. London: Springer London, 2018. http://dx.doi.org/10.1007/978-1-4471-4721-3_27.

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Conference papers on the topic "Pleural Effusion, surgery"

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Yurosko, C., G. Bollin, N. Haller, and A. Diwakar. "A Case of Persistent Pleural Effusion After Colon Resection Surgery." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a6843.

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Karacam, Volkan, Kemal Can Tertemiz, Eyup Sabri Ucan, and Alirıza Karakılıc. "The effectiveness of concomitant endobronchial treatment and video assisted thoracic surgery pleurodesis in lung cancer cases with pleural effusion." In ERS International Congress 2017 abstracts. European Respiratory Society, 2017. http://dx.doi.org/10.1183/1393003.congress-2017.pa3763.

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Aiello, Tommaso Francesco, Angels Jaen Manzanera, Ramon Rami Porta, Bienvenido Barreiro Lopez, Lydia Canales Aliaga, and Queralt Jordano Montañez. "Can suspicion for malignancy improve the indication of video-assisted thoracoscopic surgery (VATS) in patients with pleural effusion of unknown cause?" In ERS International Congress 2017 abstracts. European Respiratory Society, 2017. http://dx.doi.org/10.1183/1393003.congress-2017.pa4297.

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Salvador, Anna Dias, Gabriela Ramos Alves, Enaldo Melo Lima, Bernardo Ferreira Paula Ricardo, and Henrique Moraes Salvador Silva. "METASTATIC THYMOMA OF THE BREAST – CASE REPORT." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1018.

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Introduction: Thymomas are rare malignant epithelial neoplasms arising in the thymus. These tumors are commonly located in the prevascular mediastinum but can also be found in other regions of the mediastinum, neck, pulmonary hilum, thyroid gland, lungs, pleura, or pericardium. This disease could be suspected as an incidental finding identified on imaging, local thoracic symptoms or due to a paraneoplastic syndrome. Pleural or pericardial effusions are the most common manifestations of more disseminated disease and may also cause thoracic symptoms. Extrathoracic metastases are seen in fewer than seven percent of patients at presentation, most commonly in the kidneys, extrathoracic lymph nodes, liver, brain, adrenals, thyroid, and bone. Case report: A 66-year-old, white female patient, with previous left mastectomy due to a phyllodes sarcoma in 1997. Diagnosed with malignant thymoma in 2013 and pleural involvement, undergoing systemic chemotherapy and surgery with complete remission of the disease at that time. Two years after, in 2015, presented with disease recurrence in the diaphragm, pleura and lymph nodes, undergoing new surgery, radiotherapy and a second line chemotherapy regimen. Over the years, the disease progressed despite the cancer treatment instituted. In December 2020, the patient presented nodulation in the right breast, with core biopsy suspicion of ductal carcinoma. Undergoing quadrantectomy with lymph node biopsy, with the surgical pathological report finding of thymoma metastasis, resected with free margins. The patient is currently at the 31st pembrolizumab cycle, in good clinical condition.
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Dorry, M., S. L. Shofer, Z. Healy, F. Jaamour, and M. M. Wahidi. "Post Cardiac Surgery Pleural Effusions and Thoracentesis." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a1102.

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Ghuge, Dhananjay, Alok Tiwari, Subraharsh Singh, and Satinder Kaur. "Clinico-pathological characterstics of epithelial ovarian malignancy in young female." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685298.

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Background and Objective: Epithelial ovarian cancer mostly appears in aged women, but rarely in young women. Little is known about the clinical characteristics and prognosis of epithelial ovarian cancer in women aged below 40 years. This study was to evaluate the clinical and histopathological characteristics of young patients with epithelial ovarian cancer. Methods: A total of 31 patients with confirmed epithelial ovarian cancer under the age of 40 years between 2007 to 2015 were retrospectively analyzed. Results: Mean age of the patient is 32 years. The common symptoms included abdominal pain (21 patient 67%), self detected pelvic mass (9 patient 29%) and 1 patient with bleeding per vaginum. The average maximum diameter of tumour is 10.7 cm. Family history positive in 8 patient (5 ca.breast and 3 ca.ovary). Mean level of CA. 125 is 883.36 u/ml. CA 125 level lowest is of 6 u/ml and highest is of 7557 u/ml. Tumour located bilaterally in 14 patient (45%). Ascitis present in 18 patient (58%). Pleural effusion seen in 6 patient (19%). Twenty six cases underwent optimal cytoreduction out of them 7 taken NACT. Two patient underwent fertility preservation surgery. Three patient underwent palliative chemotherapy due to unwillingness. Eleven patient classified as stage III and stage IV each (35% of each), six patient is of stage I (19%) and three patient of stage II (9.6%). Serous adenocarcinoma (80.6%) and mucinous adenocarcinoma (19%) are the common histopathological findings. Thirteen patient (41.9%) has well differentiated tumour, eight (25.8%) has moderately differentiated and ten (32.25%) has poorely differentiated tumour. Twenty eight patient received platinum and paclitaxel-based chemotherapy before or after operation. Conclusion: Young women with epithelial ovarian cancer under the age of 40 years mostly have serous adenocarcinoma; well differentiated and tumors are normally bilateral. The ovarian function can be preserved (fertility preservation) in part of stage Ia and Grade I patients.
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Bejar, Dorra, Mariem Triki, Maher Abouda, Ferdaous Yengui, Boutheina Melki, Hadhami Rejeb, Nesrine Ben Meiz, et al. "Pleural effusions after cardiac surgery: Etiology and outcomes." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa2528.

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Cortes-Telles, Arturo, Angel Emmanuel Vega-Sanchez, Jose Luis Che-Morales, Danielle Aimee Manjarrez-Martin, and Gary Kosai Vargas-Mendoza. "Serum procalcitonin as a potential biomarker of surgery in parapneumonic pleural effusions." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa603.

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Klijian, A., K. Bagheri, and R. Al-Naser. "Extended Use of Awake Video Assisted Thoracic Surgery (AVATS) as First Line for Diagnosis and Treatment of Pleural Effusions." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a4193.

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