AnatomyOrganismsDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesDisciplines and OccupationsInformation ScienceHealth Care
MediastinitisMediastinumCardiac Surgical ProceduresSternumMediastinal NeoplasmsSternotomyNegative-Pressure Wound TherapySurgical Wound InfectionCardiopulmonary BypassPostoperative ComplicationsThoracotomyRetropharyngeal AbscessCoronary Artery BypassThoracic SurgeryTreatment OutcomeMediastinal DiseasesDebridementWound Closure TechniquesTomography, X-Ray ComputedMediastinal CystPeriodontal AbscessFocal Infection, DentalSurgical Wound DehiscenceEsophageal PerforationThoracic Surgical ProceduresMyocytes, CardiacRadiography, ThoracicRetrospective StudiesSclerosisTime FactorsTherapeutic IrrigationDrainageCardiac OutputOmentumProspective StudiesSurgical FlapsPostoperative PeriodSuperior Vena Cava SyndromeHeart DiseasesHeart Valve Prosthesis ImplantationFatal OutcomeMediastinoscopyRisk FactorsReoperationThoracic Surgery, Video-AssistedHeart Defects, CongenitalPostoperative CareHeartLength of StayFollow-Up StudiesMycoplasma hominisRisk AssessmentHospital MortalityEsophageal FistulaPreoperative CareArrhythmias, CardiacBenchmarkingHeart ValvesCardiovascular Surgical ProceduresMediastinal EmphysemaPerioperative CareSuppurationGoiter, SubsternalThymus NeoplasmsBandages
MediastinalPosterior mediastinumTamponadeEsophagealSurgical2022LungSternotomyCardiovascular surgeryPleuralThoracic surgeryAorticPatientsVenous returnInfectionAnteriorInfectionsBronchoscopyChestPatient'sPostoperativeTracheaMethodsSurgeonsPossibilityMortalityEvaluateRiskCaseDevelopmentMadePresentHospitalYearsImagesMedicineAbility
Mediastinal7
  • The portion of the thorax defined as the mediastinum extends from the posterior aspect of the sternum to the anterior surface of the vertebral bodies and includes the paravertebral sulci when the locations of specific mediastinal masses are defined. (medscape.com)
  • Other non-malignant causes include benign mediastinal tumors, aortic aneurysm, infections, and fibrosing mediastinitis. (wikipedia.org)
  • Surgical procedures in the thorax include lung resection, lung transplantation, cardiovascular and mediastinal surgery, as well as pleural and cavitary space reduction procedures. (radiologykey.com)
  • Median sternotomy allows wide access for anterior mediastinal surgery and is the incision of choice for open-heart surgery. (radiologykey.com)
  • DNM diagnosis was made by detecting retropharyngeal abscess extending to the mediastinum, mediastinal air images and increased density in adipose tissue with intravenous (IV) contrast-enhanced neck and thorax computed tomography (CT). (turkjemergmed.org)
  • Acute mediastinitis is a rare and life-threatening infection of the mediastinal connective tissue that fills the intrapleural spaces and surrounds the median thoracic organs. (turkjemergmed.org)
  • For patients with suspected retrosternal mediastinal abscess cavity, all cancellous bone of the unhealed sternum was bitten off to fully expose the retrosternal mediastinum, remove the source of infection and granulation tissue, and to fill the sternum defect with flipped unilateral pectoralis major muscle. (bvsalud.org)
Posterior mediastinum1
Tamponade3
  • Pericardiocentesis (Choice C) is the treatment for cardiac tamponade. (iem-student.org)
  • The patient's vitals show no evidence of obstructive shock, and there is no history of penetrating chest trauma, pericardial effusion, end-stage renal disease, HIV, lupus, cancer, or other risk factors for cardiac tamponade. (iem-student.org)
  • Ultrasonography also is useful in assessing pleural and pericardial effusions, cardiac tamponade, calcification of the pericardium, and constrictive pericarditis. (medscape.com)
Esophageal5
Surgical7
  • Video-assisted thoracoscopic surgery (VATS) consists of the use of a fiberoptic camera and surgical instruments placed via three to five intercostal incisions along the anterior and posterior axillary lines. (radiologykey.com)
  • Advances in robotic technology have led to the amalgamation of robotic surgical techniques with the VATS procedure, now known as robot-assisted thoracic surgery (RATS). (radiologykey.com)
  • The evolution of the surgical incision has been closely correlated to the major developments in the field of surgery, medicine, and technology. (medscape.com)
  • Principals of surgical management of specific thoracic injuries like: tension pneumothorax, open pneumothorax, massive haemothorax, flail chest, cardiac injuries, ruptures of the aorta, tracheobronchial tree lesions, oesophageal and diaphragmatic injuries have been reviewed. (edu.pl)
  • Analysis of risk factors in surgical treatment of lung cancer patients over 70 years of age: how effective are the cardiac risk score and age? (tgcd.org.tr)
  • Following a brief stay in the intensive care unit, most patients undergoing cardiac surgical procedures follow a routine pattern of recovery. (thoracickey.com)
  • Most patients are transferred to an intermediate care unit or the postoperative cardiac surgical floor on the first postoperative day. (thoracickey.com)
20221
  • From January 2017 to December 2022, 36 patients with wounds associated with secondary sternal osteomyelitis and/or mediastinitis after sternotomy who were conformed to the inclusion criteria were admitted to the Burn Center of PLA of the First Affiliated Hospital of Air Force Medical University, including 23 males and 13 females, aged 25 to 81 years. (bvsalud.org)
Lung5
  • The majority of cases are caused by malignant tumors within the mediastinum, most commonly lung cancer and non-Hodgkin's lymphoma, directly compressing or invading the SVC wall. (wikipedia.org)
  • The ability to isolate the ipsilateral lung for surgery and the introduction of new stapling devices allowed the use of smaller more focused incisions with muscle-sparing techniques and minimal rib-spreading. (medscape.com)
  • Isolating the lung during minimally invasive or videoscopic thoracic surgery is almost mandatory. (medscape.com)
  • CT scanning is helpful in detecting calcification in a lung nodule (histoplasmoma) and in evaluating patients with fibrosing mediastinitis and broncholithiasis. (medscape.com)
  • is a pneumothorax causing a progressive rise in intrapleural pressure to levels that become positive throughout the respiratory cycle and collapses the lung, shifts the mediastinum, and impairs venous return to the heart. (msdmanuals.com)
Sternotomy2
  • The continued evolution of cardiac surgery has made the median sternotomy and its many variations one of the most widely used incisions in for cardiac surgery, which are occasionally used for thoracic surgery. (medscape.com)
  • Objective: To investigate the perioperative management of wounds associated with secondary sternal osteomyelitis and/or mediastinitis after sternotomy, and to evaluate its clinical effects. (bvsalud.org)
Cardiovascular surgery3
  • Most cases of mediastinitis in the United States occur following cardiovascular surgery. (medscape.com)
  • She had been taking warfarin as prescribed by the cardiovascular surgery department for deep vein thrombosis of the right leg. (biomedcentral.com)
  • Patients with concomitant coronary artery bypass grafting or a history of previous cardiovascular surgery were excluded, remaining 45 patients enrolled. (authorea.com)
Pleural1
  • Severe vascular lacerations causing massive haemorrhage to pleural cavities and mediastinum were combined with vast injuries of the abdominal organs, brain and bone fractures [2-3]. (edu.pl)
Thoracic surgery4
Aortic3
  • IV antihypertensives and CT surgery consultation (Choice A) would be the best treatment for a patient with aortic dissection. (iem-student.org)
  • Methods: We enrolled 69 patients who underwent aortic or mitral valve surgery between July 2016 to March 2018 without recurrence. (authorea.com)
  • Compression of the vena cava may result from extra luminal compression by mass present in middle or anterior mediastinum including right paratracheal lymph nodes, lymphoma, thymoma, aortic aneurysm or any inflammatory process leading to fibrosing mediastinitis [1-5]. (romj.org)
Patients7
  • When I was a general surgery resident, we had a couple of patients come in with maggots in their wounds--both with venous stasis ulcers on their legs. (blogspot.com)
  • Although small in proportional terms, the actual number of patients affected by mediastinitis is substantial. (medscape.com)
  • Except for 1 patient who had suture rupture caused by lifting the patient under the armpit during nursing on the 3rd day after surgery, the wounds of the other patients healed smoothly after surgery, and the wound healing time of all patients was 7-21 days. (bvsalud.org)
  • Methods: A total of 213 patients aged 65 years or older who underwent elective cardiac surgery at our hospital between August 2018 and October 2020 and who underwent a preoperative frailty assessment were included. (or.jp)
  • We believe that preoperative rehabilitation is a promising strategy to improve the condition of frail patients who require cardiac surgery. (or.jp)
  • Prevention of SSI in Cardiac Surgery by Using Intraoperative Measures for High-Risk Patients as Standard Precautions against Mediastinitis S. Taguchi et al. (or.jp)
  • It should be remembered that patients are still in an early phase of recovery from surgery with many physiologic derangements still present. (thoracickey.com)
Venous return2
  • Increased airway pressure will tend to further compress an already compromised SVC and reduce venous return and in turn cardiac output and cerebral and coronary blood flow. (wikipedia.org)
  • Without appropriate treatment, the impaired venous return can cause systemic hypotension, respiratory arrest, and cardiac arrest (pulseless electrical activity) within minutes. (msdmanuals.com)
Infection1
  • The indication for thoracic interference was considered when the infection was deeply spread into the mediastinum and cannot get out through cervicotomy, although the most effective method of drainage was applied. (biomedcentral.com)
Anterior1
  • Traditionally, the mediastinum is artificially subdivided into three compartments (anterior, middle, and posterior) for better descriptive localization of specific lesions. (medscape.com)
Infections5
  • Descending Necrotizing Mediastinitis (DNM) is a serious but rare clinical condition that often occurs due to moderate to severe polymicrobial infections in the oropharyngeal region that spreads to the mediastinum region by the deep and cervical fascial plane connection. (biomedcentral.com)
  • Treatment measure varies depending on the spread of infections, especially in the upper and lower region of the mediastinum. (biomedcentral.com)
  • Most of the reports suggested thoracotomy with severe infections that are in the mediastinum region. (biomedcentral.com)
  • Descending necrotizing mediastinitis (DNM) is one of the most critical, and often lethal forms of mediastinitis that develop because of the downward spread of deep neck infections. (turkjemergmed.org)
  • One of the most serious forms of mediastinitis is descending necrotizing mediastinitis (DNM), which is caused by the downward spread of deep neck infections by gravity and negative intrathoracic pressure. (turkjemergmed.org)
Bronchoscopy1
  • Similarly, the airway patency of the trachea was likely directly explored through surgery and then with a bronchoscopy to view the lumen directly from the inside. (insidesurgery.com)
Chest2
  • Chest wall surgery aims to resect the lesion with margins wide enough to eradicate the disease, while at the same time leaving a defect that can be closed effectively. (radiologykey.com)
  • In 1 patient, the armor-like chest strap was removed 2 weeks after surgery, and the shoulder joint movement was not restricted, resulting in local rupture of the suture, which healed after dressing change. (bvsalud.org)
Patient's1
  • Which of the following is the most appropriate next step in management for this patient's condition❓CTS: Cardiothoracic Surgery, IV: intravenous. (iem-student.org)
Postoperative1
  • The patient recovering uneventfully from open‐heart surgery is usually extubated within 6-8 hours and off all inotropic support by the first postoperative morning. (thoracickey.com)
Trachea1
Methods2
  • The focus should also include more accurate methods of diagnosis during the first 14 days after surgery, when computed tomography (CT) findings are not reliable. (medscape.com)
  • Several methods of treatment are available, mainly consisting of careful drug therapy and surgery. (wikipedia.org)
Surgeons1
  • Effective management of severe thoracic injuries requires an integrated approach and cooperation of a multidisciplinary trauma team, including experienced thoracic and cardiac surgeons. (edu.pl)
Possibility1
  • In addition, the preoperative gait speed was adopted as one of the factors related to the possibility of a 300 m walk after surgery. (or.jp)
Mortality1
  • Mediastinitis is a life-threatening condition that carries an extremely high mortality if recognized late or treated improperly. (medscape.com)
Evaluate1
  • The purpose of this study was to evaluate the effect of frailty on the rehabilitation process and walking ability after cardiac surgery. (or.jp)
Risk1
  • Objective: Frailty has been noticed as an important preoperative risk factor for cardiac surgery. (or.jp)
Case1
Development1
  • In the feudal period analysis of surgery development on the Belarusian lands has shown that depending on the national affiliation of these territories it was acquiring the original features. (surgery.by)
Made1
Present1
  • Khirurgiia ot drevnosti do sovremennosti: ocherki istorii [Surgery from antiquity to the present: essays on the history]. (surgery.by)
Hospital1
  • Conclusions: Frailty was associated with delayed rehabilitation and reduced walking ability after cardiac surgery, and increased hospital transfers. (or.jp)
Years1
Images1
  • The adenopathy associated with fibrosing mediastinitis demonstrates relatively low signal intensity on T2-weighted images. (medscape.com)
Medicine2
  • The goal of the surgery, like everything we do in medicine, is to optimize the likelihood of a successful outcome from the planned procedure. (medscape.com)
  • Surgery was considered as an important part of medicine in Kievan Rus incorporated Polotsk and Turov principalities. (surgery.by)
Ability1
  • Impact of Frailty on the Course and Walking Ability after Cardiac Surgery T. Honda et al. (or.jp)