Content from the Journal of the American Neurological Surgeons.
For purposes of this survey, readers were asked to assume that they were consulted on a hospitalized middle aged patient who has been diagnosed with stage IV non-small cell lung cancer. The patient has shortness of breath in the absence of an important pleural effusion. There is no endobronchial obstruction and there is no…
The latest survey on CTSNet content in the Thoracic Portal provides important information as to what users find effective and what new content they would like to see. Clinical practice is most influenced by Experts’ Techniques and by clinical videos. Clinical knowledge is most influenced by current literature. New features that users would most…
This survey was posted during October 2006. There were 117 responses to this survey, with the majority of surgeons living in North America and Europe. Just over half of physicians use PET routinely for evaluating N2 disease. One third of physicians use PET only when mediastinal or hilar lymph nodes are abnormal on CT.…
The survey on management of giant paraesophageal hernia produced more concensus than most prior surveys. The respondents were asked to consider the case of an elderly female who was diagnosed with a large (>50% of stomach in the chest) type III (esophagogastric junction has migrated into the chest) paraesophageal hernia. The patient had early…
Management of Achalasia Home » Thoracic » Survey Results Respondents were asked to assume for purposes of this survey that the patient is a 40 yo male with a 12 month history of symptoms compatible with achalasia. There is no evidence that he has Chagas’ disease. The diagnosis has been confirmed with endoscopy, contrast esophagram,…
Prophylaxis and Management of Arrhythmias After Thoracic Surgery Home » Thoracic » Survey Results This survey was designed to help inform readers about current practices in prophylaxis for and management of supraventricular arrhythmias after major thoracic surgery. Participants were asked to respond to questions regarding perioperative management of thoracic surgery patients. They were asked to…
The survey for the Thoracic Portal addressed an important topic in the management of non-small cell lung cancer. Patients with NSCLC are at increased risk for perioperative deep venous thrombosis. The results of this survey will help inform the practicing surgeon about how other surgeons manage this challenging clinical situation. The questions related to…
Management of Perioperative Anticoagulation Readers were asked to respond to questions regarding a clinical scenario in which a patient for major lung resection had coronary stents placed prior to surgery. The results were interesting, demonstrating a fair amount of variability in the management of this situation and a surprisingly liberal attitude towards the use of…
Management of Malignant Pleural Effusion READER COMMENTS View/Add Comments Home » Thoracic » Survey Results This survey was based on the scenario that participants were asked to consult on a hospitalized middle-aged patient who has been diagnosed with stage IV non-small cell lung cancer with a symptomatic uniloculated unilateral malignant pleural effusion (MPE). Most of…
By Gino Gerosa, MD, Gianluca Torregrossa M.D., Carlo Dal Lin M.D., Edward Buratto, Vincenzo Tarzia M.D., and Maurizio Rubino MD The CardioWest™ Total Artificial Heart (TAH) is a biventricular orthotopic pneumatic pulsatile pump that totally replaces the native ventricles and valves and is currently approved as a bridge to heart transplatation in selected patients. This video…
STSA Surgical Motion Picture 2009 Annual Meeting This case illustrates a combined video assisted right upper lobectomy followed by en bloc resection of involved chest wall and vertebral body through a posterior approach. It demonstrates that minimally invasive techniques may be applied to patients with advanced lung cancers to reduce patient morbidity. A 56 year old…
Introduction Left ventricular pseudoaneurysms represent a rare condition where cardiac rupture is contained by adherent pericardium or scar tissue. They most commonly occur after myocardial infarction (MI). We present here a case of a 78 year-old male with history of coronary artery revascularization who was found with a large pseudoaneurysm of the posterior wall of…
STSA Surgical Motion Picture 2009 Annual Meeting Most rheumatic mitral valves have undergone replacement in recent years, but replacement mortality remains significant at a time when repair mortality is approaching zero. Therefore, an effort was made to increase repair rates and efficacy in a single surgeon series of patients having operation for rheumatic mitral valve…
Pos. A. Equipment room Pos. B Examination room Pos C. Control room 1. Floor stand cabinet2. Generator3. Cable cabinet (option)4. System control cabinet5. Cooling unit 15. USV 6. Floor stand7. Patient table8. DCS PRO9. Floor stand overhead carriage14. LAF Ceiling16. Flexible radiation protection 10. Imaging System11. Control console12. Measuring station13. Hardcopy
We present a patient who underwent transhiatal esophagectomy with a gastric conduit placed in the anterior mediastinum, and subsequently developed dysphagia from compression of her conduit by the left sternoclavicular joint, necessitating corrective surgery. Introduction Transhiatal esophagectomy is an effective surgical approach to end-stage benign and malignant esophageal disease, which classically involves replacement of the…
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