Aid to safe transfer of the vascular pedicle to the neck using a saline-filled Penrose drain

2020 ◽  
Vol 58 (5) ◽  
pp. 611-612
Author(s):  
A. Ogunbowale ◽  
J. Clark ◽  
R. Gaikwad ◽  
L. Stassen ◽  
C. Barry
Author(s):  
Ahmed Emam ◽  
Giulia Colavitti ◽  
Thomas Chapman ◽  
Thomas Wright ◽  
Umraz Khan
Keyword(s):  

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Hironori Oyamatsu ◽  
Hideki Tsubouchi ◽  
Kunio Narita

Abstract Background Pulmonary tractotomy effectively treats deep pulmonary penetrating injuries; however, it requires the accurate insertion of forceps or a stapler into the wound tract. This report describes a case of tractotomy using the Penrose drain guide for a deep lung injury caused by chest drainage. Case presentation A 75-year-old man suffered multiple rib fractures and hemothorax. After admission, chest tube drainage was performed because the patient’s respiratory condition deteriorated due to increased right pleural effusion. However, as the chest tube was stabbing into the right upper lobe, a pulmonary tractotomy was performed to treat the injury. Cutting the visceral pleura just over the tip of the chest tube caused the tube to completely penetrate the lung. A Penrose drain tube was fixed to the chest tube, which was then removed. The Penrose drain tube completely penetrated the lung and was coupled to the anvil side of the stapler to guide it smoothly into the wound tract. After stapling left the wound tract open, selective suture ligation of the damaged vessel and bronchioles was performed. Conclusions Although the indications for tractotomy using the Penrose drain guide are limited, we believe that this technique can be useful in patients with deep stabbing or penetrating lung injuries with rod- or tube-shaped foreign body remnants.


1999 ◽  
Vol 12 (4) ◽  
pp. 585-587
Author(s):  
I. Muras ◽  
A. Rispo ◽  
F.P. Bernini
Keyword(s):  

2007 ◽  
Vol 25 (6) ◽  
pp. 722-723 ◽  
Author(s):  
Tai-Feng Chiu ◽  
Shi-Jye Chu ◽  
Shyi-Gen Chen ◽  
Shao-Liang Chen ◽  
Tim-Mo Chen
Keyword(s):  

1989 ◽  
Vol 42 (3) ◽  
pp. 260-262 ◽  
Author(s):  
Isao Koshima ◽  
Hiroshi Fukuda ◽  
Ryuiti Utunomiya ◽  
Shugo Soeda

1981 ◽  
Vol 11 (5) ◽  
pp. 367-371 ◽  
Author(s):  
Renzo Hirayama ◽  
Tadahiko Miyanaga ◽  
Joji Utsunomiya

1998 ◽  
Vol 23 (4) ◽  
pp. 457-464 ◽  
Author(s):  
G. DAUTEL ◽  
D. CORCELLA ◽  
M. MERLE

Five patients under 15 years-of-age, with a fingertip amputation through the nail plate, were treated with a custom-made partial toe transfer. Two of the patients hid had previous attempts at surgical reconstruction using either a local flap or replantation. Delay between initial injury and reconstruction ranged from 2 to 60 days. In all cases the flap was harvested from the second toe. This “custom-made” compound transfer included the exact amount of pulp, nail bed and bone required for reconstruction. All flaps were harvested on a short vascular pedicle, with anastomoses performed at a digital level on the recipient site. Good to excellent cosmetic results were obtained in all cases, with a nearly normal-looking fingertip. Duration of hospital stay ranged from 4 to 7 days. We recommend this technique for treatment of distal amputation close to the proximal nail fold, in young individuals.


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