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Thoracic Portal

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This video demonstrates a right upper lobectomy enhanced by thoracic LigaSure and Medtronic Signia.
July 1, 2008
Patient Selection
July 1, 2008
Buttressing suture/staple lines in thoracic surgery has been shown to promote healing and prevent breakdown, especially in situations where the native tissues have been compromised.  There are a wide variety of tissue flaps that have been used within the chest ranging from pleura, muscle, to omentum.
June 29, 2008
Stainless steel wires are currently used for median sternotomy closure in cardiac and general thoracic surgery; this method is safe, effective, and fast. However, the wires can damage and cut bone during respiratory and chest motion. A novel sternal reinforcement device has been designed to prevent wires cutting into the bone.
June 17, 2008
Unilateral diaphragmatic agenesis is a rare diagnosis typically made early in infancy and generally associated with other genetic anomalies. We present an unusual case of adult onset progressive shortness of breath and peripartum hepatic herniation into the chest, which on intraoperative exploration revealed diaphragmatic agenesis.
June 15, 2008
Surgical stapling devices have been used in Thoracic surgery for over 20 years and have proven as reliable as suturing for the bronchus, pulmonary artery, pulmonary vein or lung parenchyma. They have allowed for the widespread application of thoracoscopy to complex procedures within the chest.
June 15, 2008
Various diathermy techniques have been proposed to reduce intraoperative blood loss in surgery. In particular, standard bipolar technology is able to coagulate small vessels, with a diameter ranging from 1 mm to 3 mm, but it has some disadvantages, including sticking, charring, and significant thermal spread [1,2].
April 8, 2008
Pulmonary nodules and masses are common reasons for referring patients to the pulmonologist, radiologist, and thoracic surgeon for evaluation. The burgeoning use of chest computed tomography for screening, to rule out pulmonary embolism, and for other indications may lead to a significant increase in patients with newly discovered lesions.

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