Pediatric thoracic surgery
-
-
- 0 replies
- 323 views
-
-
-
- 0 replies
- 278 views
-
-
-
- 0 replies
- 313 views
-
-
-
- 0 replies
- 326 views
-
-
Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Three easily detectable features—polyhydramnios, mediastinal shift, and the absence of an intra-abdominal stomach bubble—should prompt a more careful search for herniated abdominal organs in the chest. Polyhydramnios is present in about 80% of the pregnancies with fetuses who have CDH and has also been associated with poor outcome. Routine antenatal ultrasound detects approximately 50–85% of cases of CDH. Lung-to-head ratio (LHR), the ratio of contralateral lung area to head circumference, measured by antenatal ultrasound, is used to predict the severity and outcome in CDH and t…
-
- 0 replies
- 304 views
-
-
Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "After the hernia is reduced, an attempt is made to visualize the ipsilateral lung. This is usually done by retracting the anterior rim of the diaphragm. Often, a hypoplastic lung can be observed at the apex. A hernial sac, composed of pleura and peritoneum, is present in about 20% of patients. The sac, if present, is excised to avoid leaving a loculated, space-occupying lesion in the chest" Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Usually the anterior rim of the diaphragm is quite evident, but the posterior rim may not be imm…
-
- 0 replies
- 353 views
-
-
-
- 0 replies
- 340 views
-
-
-
-
- 0 replies
- 334 views
-
-
-
- 0 replies
- 330 views
-
-
Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "To limit postoperative morbidity, it is desirable and usually possible to employ a muscle-sparing approach, affording adequate exposure yet limiting or avoiding division of the serratus anterior and latissimus dorsi. The scapula is elevated off the chest wall by retractor to gain exposure, and palpation is used to count the ribs to the correct interspace. In most situations in infants, the highest palpable rib is the second. Generally, the fourth interspace is used for a lobectomy, although the fifth also can be used effectively."
-
- 0 replies
- 321 views
-
-
Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The breast tissue present in gynecomastia is most often tender, firm, and subareolar. One third of boys will present with unilateral gynecomastia. A mass in the breast that is not subareolar and is asymmetric should raise concern for other conditions. A testicular exam is a key component of the physical exam to rule out hypogonadism, suggestive of Klinefelter’s syndrome, a varicocele, or possible estrogen-secreting tumors of the testes, such as germ cell tumors, Sertoli cell tumors, or Leydig cell tumors."
-
- 0 replies
- 299 views
-
-
video 1
-
- 0 replies
- 308 views
-
-
-
- 0 replies
- 305 views
-
-
-
- 0 replies
- 311 views
-
-
reason for burning over second rib for 5cm laterally during thoracic sympathectomy, to burn The Nerve of Kuntz, to decrease recurrence post sympathectomy. recommendation is to burn over all ribs from 2 to 4, 5cm lateral to sympathetic trunk after its resection.
-
- 0 replies
- 307 views
-
-
-
- 0 replies
- 313 views
-
-
Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The diagnosis of eventration is usually made on a chest x-ray. Frontal and lateral chest x-rays will show an elevated diaphragm with a smooth, unbroken outline. Fluoroscopy is a useful investigation for differentiating a complete eventration from a hernia. Paradoxical movement of the diaphragm is seen if complete eventration is present. Ultrasonography is the most useful study in the diagnosis of eventration of the diaphragm and for identification of abdominal organs underneath the eventration. Other investigational modalities include pneumoperitonography, contrast peritonograph…
-
- 0 replies
- 330 views
-
-
-
- 0 replies
- 303 views
-
-
video 1 video 2
-
- 0 replies
- 307 views
-
-
-
video 1
-
- 0 replies
- 286 views
-
-
-
- 0 replies
- 321 views
-
-
-
- 0 replies
- 309 views
-
-
-
- 0 replies
- 283 views
-
