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Mediastinum

March 1, 2018
The authors present a thorough expert consensus review on the prevention—preoperative, intraoperative, and postoperative—and the postoperative management of sternal wound infections.  The authors conclude with a guideline with class recommendations and levels of evidence. This article should be in every cardiac surgeon's armamentarium.
February 6, 2018
The authors participated in a multi-institutional prospective study to evaluate the frequency, risk factors, and outcomes of patients who suffer mediastinal infection after cardiac surgery.  A total of 5,158 patients were enrolled, and there were 43 infections in 41 patients (0.79 cumulative incidence) occurring at a median time of 20 days after surg
November 24, 2016
The authors performed a meta-analysis to evaluate (1)  if the timing of tracheostomy after cardiac surgery and (2) whether the type of tracheostomy (open v. percutaneous) impacted the incidence of sternal wound infection (SWI).   The findings were as follows:
August 15, 2016
A small international prospective randomized trial of extended thymectomy with steroids vs steroids for 126 with class II to IV myasthenia gravis.  The selection criteria and powering were altered mid-trial.
March 26, 2014
This study surveyed outcomes of sympathotomy for hyperhidrosis more than 1 year postoperatively. 77% reported clinically bothersome compensatory sweating, although the incidence decreased over time to 35% at 5 years and thereafter.
January 17, 2011
In 1932, the radiologist Henry Pancoast first described a superior pulmonary sulcus tumor (SST) as a carcinoma (of uncertain origin) developing in the apex of the chest.
August 30, 2010
Pericardial cysts are an uncommon benign congenital anomaly in the middle mediastinum.  They represent 6% of mediastinal masses, and 33% of mediastinal cysts.  Other cysts in the mediastinum are bronchogenic – 34%, enteric – 12%, thymic and others – 21%.

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