1,057 research outputs found
Intraoperative bronchial stump air leak control by Progel® application after pulmonary lobectomy
Diffuse tracheobronchial calcification is a physiological condition associated with advanced age, especially in women. A calcified bronchus can be fractured during major lung resections (lobectomy, bilobectomy, and pneumonectomy), exposing patients to intraoperative air leakage and broncho-pleural fistula (BPF) occurrence. We retrospectively evaluated the use of Progel® application on the suture line of bronchial stump after pulmonary lobectomy analysing the intraoperative air leak and BPF occurrence. Between January 2014 and December 2014, Progel® was applied in 11 patients who presented intraoperative bronchial fractures after suture resection by mechanical staplers and air leak from bronchial stump, in order to treat air leakage. Patients were 7 men and 4 women, aged between 56 and 81 years (mean age 71.2 ± 12.1 years). Surgical procedures included 6 upper lobectomies (4 right, 2 left), 1 bilobectomy and 4 lower lobectomies (3 right, 1 left). Mean hospital stay was 4.5 ± 2.6 days (2-8 days). None of the patients had postoperative air leakage. No Progel® application-related complications occurred. No other major complications occurred. No mortality occurred. Progel® proved to be useful in treating intraoperative air leakage during major lung resections, particularly those occurring as a result of fracture of the bronchus from a mechanical stapler
Stenting treatment is a minimally traumatic and effective alternative to surgical repair for iatrogenic tracheobronchial lesion
Iatrogenic tracheobronchial injuries are rare but lifethreatening events, most frequently due to complication
of endotracheal intubation or percutaneous tracheostomy.
Their incidence is low (0.005–0.2% after double lumen
or emergency single lumen intubation and up to 0.7%
after percutaneous tracheostomy), but related mortality
can be high and has been generally reported between
11% and 42% (1-5). Surgical repair has been considered
the treatment of choice for a long time. More recently,
along with the progressive evolution of interventional
bronchoscopy, minimally invasive endoscopic treatment has
gained diffusion as an effective alternative
Thoracic surgery for malignancy and emergency irrespective of COVID-19
until March 24, 2020, a COVID-19 test by nasopharyngeal swab was offered to the patients presenting with
symptoms of COVID-19. However, from April 2, 2020, we
changed that policy, offering 2 COVID-19 tests by nasopharyngeal swab to everyone undergoing thoracic surgery
for malignancies before admission to our general university
hospital, even if asymptomatic
Bronchovascular reconstruction in the era of mini-invasiveness
bronchovascular reconstruction in the era of mininvasivenes
A high-volume thoracic surgery division into the storm of the COVID-19 pandemic
Since the coronavirus 2019 (COVID-19) crisis broke out
in Italy at the end of February 2020, days before the
World Health Organization declared the pandemic,1,2 two
crucial issues urgently emerged and needed to be
addressed by our institution. First was the containment
of the severe acute respiratory syndrome coronavirus 2
(SARS-CoV-2) epidemic together with the restructuring of national public and private health care to face
the spread of the new viral disease among the population. Second, central as well, was to maintain the
offer of medical and surgical treatments to the patients
who still presented with other severe diseases—of
these in particular, oncologic patients
Photonic band gaps analysis of Thue-Morse multilayers made of porous silicon
Dielectric aperiodic Thue-Morse structures up to 128 layers have
been fabricated by using porous silicon technology. The photonic band gap
properties of Thue-Morse multilayers have been theoretically investigated
by means of the transfer matrix method and the integrated density of states.
The theoretical approach has been compared and discussed with the
reflectivity measurements at variable angles for both the transverse electric
and transverse magnetic polarizations of light. The photonic band gap
regions, wide 70 nm and 90 nm, included between 0 and 30°, have been
observed for the sixth and seventh orders, respectively
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