Typical vertical muscle-sparing thoracotomy via a vertical skin incision for right lower lobectomy through the fifth intercostal space

Background: The most common major abdominal operation done on women is Caesarean section. Over the past century delivery by Caesarean section has been increased in both developed and developing countries. Various abdominal incisions have been used for Cesarean delivery. Today most of the caesarean section are performed with either a vertical infra umbilical midline incision [VIUI] or pfannenstiel incision. Both the skin incisions possess some benets and drawbacks. Methods: This study was a prospective cohort study conducted in the department of Gynaecology & Obstetrics, Burdwan Medical College & Hospital, Burdwan, West Bengal a tertiary teaching institute, from July, 2017 to November, 2018. 142 mothers were included in the study after informed consent from the patient about being a part of this study. Among them, 37 were with midline vertical skin incision, 51 were with transverse skin incision, and 54 were primigravida. Categorical variables are expressed as Number of patients and percentage of patients and compared across the groups using Pearson's Chi Square test for Independence of Attributes/ Fisher's Exact Test as appropriate. Results: 57.41% of primigravida are in 18 to 20 years age group, 42.59 % in 21-25 years, no women was over 25 years. women with previous vertical incision 27.03% have no adhesion, 59.46 % have mild adhesion, and 13.51% have severe adhesion. In women with previous transverse incision 21.57% have no adhesion, 47.06% have mild adhesion and 31.37%have severe adhesion. 34.7% adhesion are between uterus and bladder, 26.5% adhesion are between uterus and omentum, 20.4% adhesion are between uterus and abdominal wall, 12.2% adhesion between omentum and abdominal wall, 6.2% adhesion are in others organ Conclusions: There was signicant delay in delivery of neonates in post caesarean mothers with previous transverse skin incision than vertical incision. Previous transverse skin incision is associated with more severe adhesion than vertical skin incision

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Middle and Right Lower Lobectomy

Thoracic Surgical Techniques ◽

10.1007/978-3-319-66270-1_33 ◽

2018 ◽

pp. 135-136

Author(s):

Francis C. Wells ◽

Aman S. Coonar

Keyword(s):

Lower Lobectomy ◽

Right Lower Lobectomy

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Completion right lower lobectomy for recurrence after left pneumonectomy for metastases

European Journal of Cardio-Thoracic Surgery ◽

10.1016/s1010-7940(97)00250-9 ◽

1997 ◽

Vol 12 (5) ◽

pp. 798-800 ◽

Cited By ~ 10

Author(s):

L Spaggiari

Keyword(s):

Lower Lobectomy ◽

Right Lower Lobectomy ◽

Left Pneumonectomy

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Treat bronchopleural fistula after right lower lobectomy by extra right middle lobectomy—a neglected approach

Interactive CardioVascular and Thoracic Surgery ◽

10.1093/icvts/ivaa050 ◽

2020 ◽

Vol 31 (1) ◽

pp. 63-70

Author(s):

Yan-Qing Wang ◽

Wei Zhuang

Keyword(s):

Treatment Outcomes ◽

Median Duration ◽

Inflammatory Cell ◽

Perioperative Complications ◽

Bronchopleural Fistula ◽

Mortality Rates ◽

Pathological Examination ◽

Lower Lobectomy ◽

Duration Of Hospitalization ◽

Right Lower Lobectomy

Abstract OBJECTIVES Bronchopleural fistula (BPF) after right lower lobectomy (RLL), although uncommon, is associated with high mortality rates. This study was aimed at evaluating the therapeutic effect of extra right middle lobectomy (ERML) in the management of BPF after RLL. METHODS We investigated 12 consecutive patients who were treated at our hospital for BPF occurring after RLL. The diagnosis of BPF was established by bronchoscopy in all cases and BPFs were treated by ERML. All patients were followed up for at least 1 year after ERML to assess treatment outcomes. RESULTS The severity of infection and malnutrition after BPF was different for different patients. All patients agreed to undergo ERML. The procedure was uneventful in all cases, and there were no cases of perioperative complications or death. The median duration of hospitalization after ERML was 10.5 (range 6–21) days. Postoperative pathological examination showed the presence of hyperaemia and oedema in the BPF stump, and inflammatory cell infiltration in the stroma. The fresh stump of the bronchus intermedius was well structured. Patients were followed up for a median duration of 27 (range 12–41) months. The BPFs were successfully treated in all patients, and a new BPF did not develop in the new fresh stump in any of the cases. CONCLUSIONS ERML aimed at creating a fresh stump for quick healing could be alternative for treating BPF after RLL.

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