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Techniques

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The authors highlight the importance of history-taking and a high index of suspicion to diagnose cases of neglected traumatic diaphragmatic hernia.
July 1, 2008
Patient Selection
July 1, 2008
Since a substantial number of patients presenting to a Cardiothoracic Surgery Clinic either smoked in the recent past or continue to do so, it is important to make sure that the patient stops smoking as soon as possible to improve their treatment outcome.  The emphasis should be on improvement of treatment outcome and future health improvement.
July 1, 2008
The majority of patients selected for VATS mediastinal nodal dissection are patients undergoing VATS lobectomy procedures for malignancy.
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.
July 1, 2008
Thymectomy for myasthenia gravis, thymic cysts, thymoma less than two centimeters in size, and mediastinal parathyroid adenoma within the thymus are all indications for a video-assisted extended transcervical thymectomy.
July 1, 2008
Epiphrenic diverticuli are acquired mucosal outpouchings protruding through the muscular wall of the distal 10 cm of the esophagus. Most are associated with an underlying esophageal motility disorder.
July 1, 2008
Patient Selection
June 30, 2008
Several surgical approaches have been described for the management of adult patients with acquired heart disease and paraductal coarctation of the aorta. Options are a staged procedure using median sternotomy and left thoracotomy, a catheter-based intervention of the coarctation combined with sternotomy, and single-stage simultaneous correction of lesions via sternotomy.

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