scholarly journals The Use of Polypropylene Mesh in the Reconstruction Techniques of the Thoracic Wall After Resections of the Thoracic Wall

2017 ◽  
Vol 54 (4) ◽  
pp. 626-629
Author(s):  
Bogdan Andrei Suciu ◽  
Ioana Halmaciu ◽  
Vasile Bud ◽  
Constantin Copotoiu ◽  
Decebal Fodor ◽  
...  

The thoracic wall resections for tumoral affections are laborious surgical interventions characterized by a high mortality and mobility. In order to create this paper we created a observational retrospective study in which we included 21 patients that have underwent parietal thoracic resections for tumoral affections. In all the patients we practiced the reconstruction of the thoracic wall using polypropylene mesh. The main postoperative complications were: seromas (14.28% of the cases), hematomas (9.52% of the cases), wound infection (4.76% of the cases), pneumonia (23.8% of the cases), respiratory failure (23.8% of the cases), paradoxical movement of the thoracic wall (52.38% of the cases). No deceases were recorded. In conclusion, the use of polypropylene mesh in the reconstructive techniques of the thoracic wall after thoracic wall resection represents a viable method, with good respiratory functional results.

1995 ◽  
Vol 56 (5) ◽  
pp. 492-497 ◽  
Author(s):  
Américo Marques ◽  
Ademar Lopes ◽  
Lúcia M. Yojo ◽  
Elizabeth Brenda ◽  
Marco Túlio J. Amarante ◽  
...  

1998 ◽  
Vol 34 (3) ◽  
pp. 225-233 ◽  
Author(s):  
KL Bowman ◽  
SJ Birchard ◽  
RM Bright

Complications associated with implantation of polypropylene mesh in dogs and cats were evaluated retrospectively. Immediate postoperative complications were common (in 10 of 20 cases) but predominantly involved seroma formation which resolved with treatment. The only long-term (i.e., six months or more) complication identified was mass recurrence at the site of tumor resection (in seven of 14 cases). Recurrence was affected by resection size. The average number of ribs resected in cases of thoracic wall neoplasia (with and without mass recurrence) was 1.8 and 3.5, respectively. In this study, implantation of polypropylene mesh facilitated the reconstruction of large tissue defects and was not associated with any serious complications.


Author(s):  
Jaime Rodriguez San Pio ◽  
Tine Engberg Damsgaard ◽  
Ole Momsen ◽  
Villadsen Ivan ◽  
Jørn Larsen

2020 ◽  
Vol 14 (1) ◽  
pp. 87-92
Author(s):  
Douglas C. Johnson ◽  
Suresh K. Chirumamilla ◽  
Armando P. Paez

Background: The significance of Candida in pulmonary secretions is unclear, and usually is regarded as colonization, not contributing to symptoms or disease. Yet, in our experience, Candida seemed associated with chronic sputum, mucus plugging, atelectasis, and poor outcome. Objective: The aim of this study is to describe the clinical findings of patients with Candida in pulmonary (sputum or bronchoscopy) secretions and the significance of Candida. Methods: Retrospective study of inpatients and outpatients referred for pulmonary consultation with Candida in pulmonary secretions. Clinical parameters and estimates of whether Candida was likely clinically significant, were determined. Results: 82 inpatients and 11 outpatients were identified, of which 61 (66%) had atelectasis and 68 (73%) bronchoscopies. Of patients having bronchoscopies, 56 (82%) had mucus, and 43 (63%) mucus plugging. Of the inpatients death (or probable death) occurred in 43 (63%), 42 (98%) of which were from definite or probable respiratory failure, with 13 (31%) likely related to mucus plugging, 16 (38%) possibly from mucus plugging, 6 (14%) unknown, and 7 (17%) not due to mucus plugging. Candida was felt likely clinically significant in 57 patients (61%), uncertain significance in 23 (25%), and not significant in 13 (14%). All outpatients had exacerbations, including 7 (64%) within a year. Conclusion: Patients requiring pulmonary consultation with Candida in pulmonary secretions often have chronic sputum production, exacerbations, mucus plugging, atelectasis, and death from respiratory failure. Candida was likely clinically significant in most patients. Recommendations to consider Candida in pulmonary secretions as colonization should be reconsidered.


Haigan ◽  
1978 ◽  
Vol 18 (4) ◽  
pp. 371-379
Author(s):  
Hisao Mishina ◽  
Keiichi Suemasu ◽  
Takeshi Yoneyama ◽  
Tsuguo Naruke ◽  
Toshiro Ogata ◽  
...  

2012 ◽  
Vol 270 (3) ◽  
pp. 965-968 ◽  
Author(s):  
Vincent Bachy ◽  
Nayla Matar ◽  
Marc Remacle ◽  
Jacques Jamart ◽  
Georges Lawson

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