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[PMID]:28459337
[Au] Autor:Allinson JP; Mackay AJ; Shah PL
[Ad] Endereço:1 National Heart and Lung Institute, Imperial College London, London, United Kingdom.
[Ti] Título:AJRCCM: 100-Year Anniversary. Special Historical Image Section: Tuberculosis Then and Now.
[So] Source:Am J Respir Crit Care Med;195(9):1118-1123, 2017 May 01.
[Is] ISSN:1535-4970
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Publicações Periódicas como Assunto/história
Pneumologia/história
Radiografia Torácica/história
Tomografia Computadorizada por Raios X/história
Tuberculose Pulmonar/diagnóstico por imagem
Ultrassonografia/história
[Mh] Termos MeSH secundário: Aniversários e Eventos Especiais
Helioterapia/história
História do Século XX
História do Século XXI
Hospitais de Doenças Crônicas/história
Seres Humanos
Linfadenopatia/diagnóstico por imagem
Linfadenopatia/história
Pneumotórax Artificial/história
Descanso
Toracoplastia/história
Tuberculose Pulmonar/história
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1164/rccm.201702-0327IM


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[PMID]:28745702
[Au] Autor:Pechetov AA; Esakov YS; Gubaydullina GF; Makov MA; Khlan TN
[Ad] Endereço:Vishnevsky Institute of Surgery, Health Ministry of the Russian Federation, Moscow, Russia.
[Ti] Título:[Differential approach for chest wall reconstruction for pectus excavatum in adults].
[Ti] Título:Vybor metoda korrektsii voronkoobraznoi deformatsii grudnoi kletki u patsientov starshego vozrasta..
[So] Source:Khirurgiia (Mosk);(7):24-29, 2017.
[Is] ISSN:0023-1207
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:AIM: To perform the prospective non-randomized single-center trial of pectus excavatum correction in adults. MATERIAL AND METHODS: For the period March 2012 - March 2016 64 patients aged 18-44 years were treated. Median age was 23 years. Male/female ratio was 41/23. All patients were included into standard survey protocol: chest MDCT, MRI of thoracic spine, pulmonary function test, echocardiography. Quality of life and complications rate after the Nuss procedure (n=50, 78.1%, group 1) and radical thoracoplasty using nikelid-titanium bar (n=14, group 2) were evaluated. RESULTS: There was earlier recovery in the 1st group: 3 (2; 4) and 6 (5; 7) days after minimally invasive and radical thoracoplasty, respectively. Postoperative Dindo-Clavien I-IIIa complications developed in 46 (71.8%) patients. Most of them did not require additional procedures. CONCLUSION: Nuss procedure is safe method and can be performed with good results in adults.
[Mh] Termos MeSH primário: Tórax em Funil
Complicações Pós-Operatórias
Qualidade de Vida
Toracoplastia
[Mh] Termos MeSH secundário: Adulto
Ecocardiografia/métodos
Feminino
Tórax em Funil/diagnóstico
Tórax em Funil/fisiopatologia
Tórax em Funil/psicologia
Tórax em Funil/cirurgia
Seres Humanos
Imagem por Ressonância Magnética/métodos
Masculino
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Avaliação de Processos e Resultados (Cuidados de Saúde)
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/epidemiologia
Procedimentos Cirúrgicos Reconstrutivos/métodos
Testes de Função Respiratória/métodos
Federação Russa
Toracoplastia/efeitos adversos
Toracoplastia/métodos
Tomografia Computadorizada por Raios X/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171130
[Lr] Data última revisão:
171130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.17116/hirurgia2017724-29


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[PMID]:28574389
[Au] Autor:Dvaladze N
[Ad] Endereço:High Technology Medical Center, University Clinic, Tbilisi, Georgia; Saint-Petersburg Pediatric Medical Academy, Department of General Surgery, Russia.
[Ti] Título:[RADICAL RECONSTRUCTIVE TORACOPLASTY - A NEW METHOD OF TREATMENT OF PATIENTS WITH CHOANOID DEFORMATION OF BREAST].
[So] Source:Georgian Med News;(265):89-93, 2017 Apr.
[Is] ISSN:1512-0112
[Cp] País de publicação:Georgia (Republic)
[La] Idioma:rus
[Ab] Resumo:Objective - development of a new method of surgery correction of choanoid deformation of breast, leading to significant improvement of the treatment results of the patients with this pathotology. The new method is being developed based on the analysis of the own long experience of treatment of the patients with choanoid deformation of breast. In total, over than 70 patients have been surged, with the age ranging from 5 to 35. The surgeries have been implemented in Leningrad Pediatric Medical Institute clinic as well as clinics in Georgia. In the course of formation of conception of the new surgery, all methods of surgery treatment of the patients having the indicated disease, applied up to now, have been critically analyzed. As a result, a new method of the surgery correction of the choanoid deformation of breast has been developed and tested which enables restoration of the natural architectonics of the deformed part of the patient's thoracic wall. Meanwhile, the strut consisting of the sterno-costal-cartilage fragments according to "stone arch" type stably and strongly fixes breast bone in the correct position, not requiring application of any artificial constructions for fixation of the breast bones. The basic and general principles of treatment of the patients with the bones trauma (repositions and immobilization of the bone fragments) have been observed within the developed method, possibility of occurrence of diastalsis or tangling the bones-cartilage fragments is excluded thus guaranteeing their fastest consolidation. Our results confirmed the correctness of new conceptual approach and technical realization of the developed method. Only 5% of the patients during the surgery have been observed to have insignificant damages of the parietal and visceral pleura. All patients have been released frpm the hospital on 3-5 day after the surgery. We have observed the patients during from 1 to 13 years after the surgery. No late post-surgery complications observed. The patients have been rehabilitated in psychological and emotional point of view, the quality of life has been significantly improved, and the ability to work has been completely recovered. Therefore, the method of surgery correction of the coanoid deformation of the breast, provided that the surgery technique is completely learnt and the surgeon is of proper qualification, enables reaching the guaranteed positive result of treatment even in those patients suffering from heavier form of the diseases as well as excluded the possibility of recidivism.
[Mh] Termos MeSH primário: Tórax em Funil/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Seres Humanos
Procedimentos Cirúrgicos Reconstrutivos/métodos
Toracoplastia/métodos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171110
[Lr] Data última revisão:
171110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE


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[PMID]:28363378
[Au] Autor:Krasnov D; Krasnov V; Skvortsov D; Felker I
[Ad] Endereço:Novosibirsk Tuberculosis Research Institute, Federal State Budgetary Institution, Okhotskaya Street 81a, Novosibirsk 630040, Russian Federation. Electronic address: krasnov77@bk.ru.
[Ti] Título:Thoracoplasty for Tuberculosis in the Twenty-first Century.
[So] Source:Thorac Surg Clin;27(2):99-111, 2017 May.
[Is] ISSN:1558-5069
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A new modification of osteoplastic collapse thoracoplasty performed with a minimally invasive approach has been proposed. This operation is a variant of extrapleural thoracoplasty used in the treatment of destructive tuberculosis. The benefits of the proposed method, the surgical techniques, and the results of the authors' research are described. Compared with the conventional variant of osteoplastic thoracoplasty, the rates of bacteriologic conversion (odds ratio [OR], 1.84; 95% confidence interval [CI], 1.72-1.97) and of the closure of cavities (OR, 2.13; 95% CI, 1.98-2.28) have been proved to be higher when the operation is performed with a minimally invasive approach.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Toracoplastia/métodos
Tuberculose Pulmonar/cirurgia
[Mh] Termos MeSH secundário: Adulto
Contraindicações
Seres Humanos
Masculino
Complicações Pós-Operatórias
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170402
[St] Status:MEDLINE


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[PMID]:27826728
[Au] Autor:Ueda Y; Nakagawa T; Toyazaki T; Chiba N; Gotoh M
[Ad] Endereço:Department of Thoracic Surgery, Tenri Hospital, 200, Mishima, Tenri, Nara, 632-8552, Japan. y-ueda@tenriyorozu.jp.
[Ti] Título:Rib resection using a pneumatic high-speed power drill system for lung cancer with chest wall invasion: our clinical experience.
[So] Source:Surg Today;47(4):476-480, 2017 Apr.
[Is] ISSN:1436-2813
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Rib resection for chest wall tumors, including lung cancer with chest wall invasion, is usually performed through open thoracotomy. Resection of part of the external rib cage requires an elongated or additional incision depending on the location and extension of the tumor, eventually becoming more invasive to patients. We recently introduced a technique of rib resection using a pneumatic high-speed power drill system known as "air tome". This novel technique is easy to perform through a small incision or even via video-assisted thoracoscopic surgery (VATS) in selected patients. We present our clinical experience and discuss the usefulness of this technique for rib resection in patients with lung cancer and chest wall invasion.
[Mh] Termos MeSH primário: Adenocarcinoma/patologia
Adenocarcinoma/cirurgia
Neoplasias Pulmonares/patologia
Neoplasias Pulmonares/cirurgia
Pneumonectomia/instrumentação
Pneumonectomia/métodos
Costelas/cirurgia
Instrumentos Cirúrgicos
Cirurgia Torácica Vídeoassistida/instrumentação
Cirurgia Torácica Vídeoassistida/métodos
Parede Torácica/patologia
Parede Torácica/cirurgia
[Mh] Termos MeSH secundário: Idoso
Animais
Quimiorradioterapia Adjuvante
Seres Humanos
Masculino
Invasividade Neoplásica
Toracoplastia/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161110
[St] Status:MEDLINE
[do] DOI:10.1007/s00595-016-1437-y


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[PMID]:27738823
[Au] Autor:Linhares SG; Pereira JC; Fernades PM; de Campos JR
[Ad] Endereço:Heart Institute, University of São Paulo, Sao Paulo, Brazil. sgdlinhares@gmail.com.
[Ti] Título:Functional exercise capacity and lung function in patients undergoing an early rehabilitation program after the Nuss procedure: a randomized controlled trial.
[So] Source:Pediatr Surg Int;33(1):69-74, 2017 Jan.
[Is] ISSN:1437-9813
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The aim of this study was to compare the functional exercise capacity and the lung function among patients undergoing early rehabilitation with those submitted to the conventional care after pectus excavatum repair using the Nuss procedure. METHOD: Patients were randomly allocated to the early rehabilitation group (ERG) who started rehabilitation after surgery and the group of the conventional care (CG) received routine care of the institution. They were evaluated before surgery (preoperative) and in hospital discharge day (postoperative). RESULTS: Forty patients were evaluated, twenty in each group. All patients presented a significant reduction in FVC, FEV1, and PEF in the postoperative period, there was no statistically significant difference between groups. There was significant different in postoperative functional exercise capacity between the ERG and CG (506.26 ± 66.54 vs 431.11 ± 75.61, p = 0.02) and the difference between distance walked in the preoperative and postoperative period was lower in the ERC than in the CG (76.57 ± 49.41 vs 166.82 ± 70.13, p < 0.001). CONCLUSION: Patients undergoing the early rehabilitation after the Nuss procedure presented a better postoperative functional exercise capacity in hospital discharge day compared with patients in the conventional group, with no difference in lung function between groups.
[Mh] Termos MeSH primário: Terapia por Exercício/métodos
Tolerância ao Exercício/fisiologia
Tórax em Funil/cirurgia
Fenômenos Fisiológicos Respiratórios
Toracoplastia/reabilitação
[Mh] Termos MeSH secundário: Adolescente
Feminino
Tórax em Funil/reabilitação
Seres Humanos
Masculino
Período Pós-Operatório
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161015
[St] Status:MEDLINE
[do] DOI:10.1007/s00383-016-3992-0


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[PMID]:26232358
[Au] Autor:Tuncer E; Vuran AC; Ozyuksel A; Yeginsu A; Ceyran H
[Ad] Endereço:Department of Cardiovascular Surgery, Kosuyolu Training and Research Hospital, Istanbul, Turkey.
[Ti] Título:Simultaneous repair of pectus excavatum and pulmonary valve implantation years after complete repair of tetralogy of Fallot.
[So] Source:Gen Thorac Cardiovasc Surg;65(2):127-129, 2017 Feb.
[Is] ISSN:1863-6713
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Although pectus excavatum is a common congenital abnormality of the chest wall, its coexistence with congenital heart defects is rarely encountered. In this report, we present a young adult who was re-operated for pulmonary valve regurgitation and pectus excavatum years after complete repair of tetralogy of Fallot. The surgical challenge and pitfalls are discussed along with a brief review of the literature.
[Mh] Termos MeSH primário: Tórax em Funil/cirurgia
Implante de Prótese de Valva Cardíaca/métodos
Insuficiência da Valva Pulmonar/cirurgia
Valva Pulmonar/cirurgia
Tetralogia de Fallot/cirurgia
Toracoplastia/métodos
[Mh] Termos MeSH secundário: Adolescente
Ecocardiografia
Feminino
Tórax em Funil/diagnóstico
Seres Humanos
Insuficiência da Valva Pulmonar/diagnóstico
Tetralogia de Fallot/diagnóstico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:171105
[Lr] Data última revisão:
171105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150802
[St] Status:MEDLINE
[do] DOI:10.1007/s11748-015-0578-z


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[PMID]:27941005
[Au] Autor:Spiegelhalter E
[Ti] Título:68 years--a record breaking thoracoplasty?
[So] Source:BMJ;355:i6513, 2016 12 09.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Complicações Pós-Operatórias/diagnóstico por imagem
Radiografia Torácica
Sobreviventes/psicologia
Toracoplastia/efeitos adversos
Tuberculose Pulmonar/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.i6513


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[PMID]:27609343
[Au] Autor:Qin T; Liu Y; An Y
[Ad] Endereço:Department of Cardiovascular and Thoracic Surgery, Children's Hospital of Chongqing Medical University, Chongqing, China.
[Ti] Título:Repair of inferior sternal cleft using a titanium plate in an infant with pentalogy of Cantrell.
[So] Source:J Card Surg;31(11):700-702, 2016 Nov.
[Is] ISSN:1540-8191
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Repair of a sternal cleft should be performed as early as possible, and the ideal material for this treatment is autologous tissue. We report the use of a titanium plate to repair the sternal cleft in a five-month-old patient with pentalogy of Cantrell because of the size of the defect and the limited availability of autologous tissue.
[Mh] Termos MeSH primário: Anormalidades Múltiplas
Placas Ósseas
Anormalidades Musculoesqueléticas/cirurgia
Pentalogia de Cantrell/diagnóstico
Esterno/anormalidades
Toracoplastia/métodos
Titânio
[Mh] Termos MeSH secundário: Ecocardiografia
Seres Humanos
Imagem Tridimensional
Lactente
Masculino
Anormalidades Musculoesqueléticas/diagnóstico
Esterno/cirurgia
Tomografia Computadorizada por Raios X
Cicatrização
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
D1JT611TNE (Titanium)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170508
[Lr] Data última revisão:
170508
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160910
[St] Status:MEDLINE
[do] DOI:10.1111/jocs.12847


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[PMID]:27526650
[Au] Autor:Spicer JD; Shewale JB; Antonoff MB; Correa AM; Hofstetter WB; Rice DC; Vaporciyan AA; Mehran RJ; Walsh GL; Roth JA; Swisher SG; Sepesi B
[Ad] Endereço:Department of Thoracic Surgery, McGill University, Montreal, Quebec, Canada.
[Ti] Título:The Influence of Reconstructive Technique on Perioperative Pulmonary and Infectious Outcomes Following Chest Wall Resection.
[So] Source:Ann Thorac Surg;102(5):1653-1659, 2016 Nov.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Emerging technologies for prosthetic reconstruction after chest wall resection have yielded a wide variety of reconstructive options for thoracic surgeons. The ideal chest wall reconstruction and its impact on perioperative outcomes has not been well defined. Our goal was to determine whether mesh characteristics such as rigidity or absorbability altered perioperative pulmonary and infectious outcomes. METHODS: Our institutional database was queried for patients who underwent chest wall resection and reconstruction for primary or secondary chest wall tumors between the years 1998 and 2013. A focused chart review supplied clinical and perioperative variables. The main study outcomes focused on perioperative pulmonary and wound/implant infectious complications. Univariate and multivariate analyses were performed to identify variables associated with outcome. RESULTS: We identified 1,096 patients who underwent chest wall resection during the study period, of which 427 required chest wall reconstruction. Pulmonary complications occurred in 24% (n = 102 of 427) of patients. We observed no significant difference in pulmonary complications between those that had a rigid versus flexible chest wall reconstruction (p = 0.401; OR, 1.43; 95% CI, 0.83-2.43). The odds of pulmonary complications increased with each additional resected rib (OR, 1.43; 95% CI, 1.2-1.71). Multivariable analysis identified the number of resected ribs (OR, 1.26; 95% CI, 1.00-1.59) and concomitant lobectomy (OR, 3.59; 95% CI, 1.62-7.92) as variables associated with perioperative pulmonary morbidity. Infectious complications occurred in 13 patients and were not predicted by the use of permanent versus absorbable prosthetic materials (p = 0.575). CONCLUSIONS: The type of reconstructive material, whether with rigid, flexible, permanent, or biologic characteristics, does not appear to influence perioperative pulmonary or infectious wound complications. Rather, the number of resected ribs and the concomitant lung parenchymal resection predict pulmonary morbidity following chest wall resection. Depending on the circumstances, an effective chest wall reconstruction can be achieved with either rigid or flexible prosthetic material.
[Mh] Termos MeSH primário: Doença Pulmonar Obstrutiva Crônica/epidemiologia
Telas Cirúrgicas
Infecção da Ferida Cirúrgica/epidemiologia
Neoplasias Torácicas/cirurgia
Parede Torácica/cirurgia
Toracoplastia/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Feminino
Seguimentos
Seres Humanos
Incidência
Masculino
Meia-Idade
Período Perioperatório
Complicações Pós-Operatórias
Doença Pulmonar Obstrutiva Crônica/etiologia
Estudos Retrospectivos
Taxa de Sobrevida/tendências
Texas/epidemiologia
Fatores de Tempo
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160817
[St] Status:MEDLINE



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