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Chest wall

March 27, 2015
The authors evaluated a simple scoring system for assessing sternal healing after sternotomy.  Observers had close agreement as to how CT findings matched the scoring system.  There was no attempt at correlating CT findings with clinical results.  Healing scores increased over time, indicating some correlation with biologic behavior.
February 21, 2015
The meta-analysis by Kowalewski et al found that implantable gentamicin collagen sponges significantly reduced the incidence of sternal wound infections by nearly 40%. 
February 18, 2015
Lymphangiomas, because of their underlying inherent properties—benign and fluid filled—make them ideal for a minimally invasive approach, in particular when involving the chest wall. However, there is limited experience with the use of these techniques in the management of these complex lesions.
November 4, 2014
Gilbert Massard of the Centre Hospitalier, France discusses the surgical treatment of thoracic infections, including: empyema, aspergillosis, and tuberculosis.
October 28, 2014
This video demonstrates a rib resection with a Gigli saw on a 20-year-old female patient.
October 9, 2014
This paper presents an update on diagnostic and prognostic biomarkers in malignant pleural mesothelioma considering also recent molecular biologic achievements as microRNA and genomic sequencing.
August 12, 2014
This video shows a robot-assisted resection of a schwannoma in a 41-year-old female patient.
August 5, 2014
This video demonstrates the use of three-dimensional surgical simulation-guided navigation during surgery of the chest wall.
May 7, 2014
The University of Pittsburgh experience with anterior approaches to spinal problems is summarized.  Approaches included cervical/sternotomy in 8 pts, thoracotomy in 79, and thoracoabominal in 43 for infection (50), primary neoplasms (22), and metastases (58).  30 and 90 day mortality were 9% and 21%, and the major complication rate was 28%.  The proc
February 11, 2014
Dual incision thoracoscopic (DIT) decortication for stage 2 fibrinopurulent effusion is a further reduction in the invasiveness of thoracoscopy. DIT decortication is less invasive in a patient who is already morbid with infection, and the limited incisions or ports further reduce nerve injury in a relatively crowded rib space.

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