1.A Novel Mediastinal Drainage Tube for Mediastinitis.
Jun Ho YHANG ; In Seok JANG ; Sung Hwan KIM ; Hyun Ho PARK ; Dong Hoon KANG ; Jun Young CHOI
The Korean Journal of Thoracic and Cardiovascular Surgery 2015;48(5):378-379
Mediastinitis is a life-threatening disease, and effective drainage is needed to treat mediastinitis with abscess formation. We recommend an alternative drainage method using chest tube binding with a Silastic Penrose drainage tube. The use of a Silastic Penrose drainage tube may help to manage mediastinitis with abscess formation. This method facilitates effective draining and prevents tissue adhesion.
Abscess
;
Chest Tubes
;
Drainage*
;
Mediastinitis*
;
Tissue Adhesions
2.Successful Treatment of Prenatally Diagnosed Non-Chylous Primary Fetal Hydrethorax: A Case Report.
Yong Wook KIM ; Sun Ho JEON ; Sang Hee KIM ; Kwang Hoon LEE ; Hyung Won LEE ; Gye Hwan SEOL ; Kil Hyun KIM ; Hak Su LEE ; Kwang Joon KIM
Korean Journal of Perinatology 1999;10(1):65-70
Primary fetal hydrothorax presents a wide spectrum of severity ranging from small harmless effusions to life-threatening thoracic compression. Management of this condition is controversial. We experienced a case of non-chylous primary fetal hydrothorax not associated with hydrops or other malformations. A predominantly unilateral hydrothorax in a fetus was diagnosed by sonography at 31 weeks gestation. Repeated ultrasonographic examinations to detect development of hydrops or progression of intrapleural effusion were used to evaluate the need for intrauterine thoracentesis and to decide the optimal time for delivery. Two thoracenteses were performed. The baby was delivered at 34 weeks. Postnatal intubation was carried out in the baby, and then chest tube placement was performed and resulted in the collection of 805ml of serous fluid. Sustained intubation was necessary for 16 days because of developing respiratory distress as a result of prematurity and recurrent pleural fluid accumulation. The baby did well after postnatal evacuation of the intrapleural fluid. Pre and postnatal investigation to find the pathophysiological mechanism leading to hydrothorax were negative. We conclude that non-chylous primary fetal hydrothorax is generally associated with a favorable outcome.
Chest Tubes
;
Edema
;
Fetus
;
Hydrothorax
;
Intubation
;
Pregnancy
3.A Case of Spontaneous Hemo-pneumothorax.
Min Su JO ; Han Ho DOH ; Seung Chul LEE ; Jung Hun LEE ; Jun Suk SEO
Journal of the Korean Society of Emergency Medicine 2012;23(5):753-756
Spontaneous hemo-pneumothorax, a hemothorax that occurs without trauma, is a very rare condition; however, as a result of excessive bleeding, it can be lethal. Also, if the bleeding is scanty, the physician might recognize hemothorax in case of performing invasive procedures, such as chest tube insertion, and may misunder stand as a complication of the procedure. For this reason, acknowledgement of the spontaneous hemo-pneumothorax in the emergency department is very important. We report on a case of a spontaneous hemo-pneumothorax in a healthy 18-year-old male presenting with chest pain who developed a spontaneous pneumothorax with a profuse amount of hemothorax.
Chest Pain
;
Chest Tubes
;
Emergencies
;
Hemorrhage
;
Hemothorax
;
Humans
;
Male
;
Pneumothorax
4.A Case of Pneumothorax Following Gastric Endoscopic Submucosal Dissection.
Yu Rim LEE ; Jun HEO ; Min Kyu JUNG ; Sung Kook KIM ; Eun Jeong KANG ; Seong Jae YEO ; Hye Yoon PARK
Korean Journal of Medicine 2015;88(1):54-59
Endoscopic submucosal dissection (ESD) is widely accepted as an alternative treatment to surgical resection for gastric neoplastic lesions. Among the complications of gastric ESD, perforation is usually manifested as a pneumoperitoneum. Here, we report a patient with a right-sided pneumothorax, pneumoperitoneum, and pneumoretroperitoneum as complications of gastric ESD. The patient recovered without further complications using conservative treatment, including endoscopic clipping, nasogastric drainage, and insertion of a chest tube.
Chest Tubes
;
Drainage
;
Endoscopy
;
Humans
;
Pneumoperitoneum
;
Pneumothorax*
;
Retropneumoperitoneum
5.Vacuum-Assisted Closure Therapy as an Alternative Treatment of Subcutaneous Emphysema.
Chun Sung BYUN ; Jin Ho CHOI ; Jung Joo HWANG ; Do Hyung KIM ; Hyun Min CHO ; June Pill SEOK
The Korean Journal of Thoracic and Cardiovascular Surgery 2013;46(5):383-387
Vacuum-assisted closure therapy is an alternative method for a massive subcutaneous emphysema treatment. It is easily applicable and shows rapid effectiveness in massive subcutaneous emphysema, intractable with chest tube drainage.
Chest Tubes
;
Drainage
;
Negative-Pressure Wound Therapy
;
Subcutaneous Emphysema
6.Percutaneous Automated Gun Biopsy of Localized Pulmonary Lesions.
Jong Chul KIM ; Se Dong HAN ; Youn Sin JEONG ; Young Ran OH ; June Sik CHO ; Gil Hyun KANG
Journal of the Korean Radiological Society 1995;32(1):109-114
PURPOSE: Percutaneous needle aspiration biopsy under the imaging guidance in the diagnosis of intrathoracic diseases has become a standard practice. Core tissue obtained by automated gun biopsy(AGB) is believed to be more diagnostic than materials from fine needle aspiration(FNA) by many cytopathologists. The authors evauated the role of automated gun biopsy in localized pulmonary lesions with respect to the its accuracy and complications. MATERIALS AND METHODS: We performed 107 percutaneous biopsies in localized pulmonary lesions under fluoroscopic guidance among 107 patients:AGB using 18G or 20G was done in 81 patients, and both AGB and FNA was done in 26 patients. RESULTS: Biopsy samples sufficient for histologic diagnosis were obtained in 94(87.9%) of 107 patients, AG8 in 73(90.1%) of 81 patients and AGB and FNA in 21(80.8%) of 26 patients. 11 of 13 negative results were due to inadeguate specimen size for the histologic diagnosis or were composed of necrotic areas, and 2 of 13 negative results were obtained through nontarget tissue. 10 patients developed pneumothorax and 4 of them required chest tube insertion. Minimal hemoptysis was found in 3 patients. CONCLUSION: Percutaneous automated gun biopsy under fluoroscopic guidance was easy and simple method of obtaining specimens of good quality and quantity. It may be an useful procedure in the diagnosis of localized pulmonary lesions.
Biopsy*
;
Biopsy, Needle
;
Chest Tubes
;
Diagnosis
;
Hemoptysis
;
Humans
;
Needles
;
Pneumothorax
7.Percutaneous Automated Gun Biopsy of Localized Pulmonary Lesions.
Jong Chul KIM ; Se Dong HAN ; Youn Sin JEONG ; Young Ran OH ; June Sik CHO ; Gil Hyun KANG
Journal of the Korean Radiological Society 1995;32(1):109-114
PURPOSE: Percutaneous needle aspiration biopsy under the imaging guidance in the diagnosis of intrathoracic diseases has become a standard practice. Core tissue obtained by automated gun biopsy(AGB) is believed to be more diagnostic than materials from fine needle aspiration(FNA) by many cytopathologists. The authors evauated the role of automated gun biopsy in localized pulmonary lesions with respect to the its accuracy and complications. MATERIALS AND METHODS: We performed 107 percutaneous biopsies in localized pulmonary lesions under fluoroscopic guidance among 107 patients:AGB using 18G or 20G was done in 81 patients, and both AGB and FNA was done in 26 patients. RESULTS: Biopsy samples sufficient for histologic diagnosis were obtained in 94(87.9%) of 107 patients, AG8 in 73(90.1%) of 81 patients and AGB and FNA in 21(80.8%) of 26 patients. 11 of 13 negative results were due to inadeguate specimen size for the histologic diagnosis or were composed of necrotic areas, and 2 of 13 negative results were obtained through nontarget tissue. 10 patients developed pneumothorax and 4 of them required chest tube insertion. Minimal hemoptysis was found in 3 patients. CONCLUSION: Percutaneous automated gun biopsy under fluoroscopic guidance was easy and simple method of obtaining specimens of good quality and quantity. It may be an useful procedure in the diagnosis of localized pulmonary lesions.
Biopsy*
;
Biopsy, Needle
;
Chest Tubes
;
Diagnosis
;
Hemoptysis
;
Humans
;
Needles
;
Pneumothorax
8.Outpatient treatment of spontaneous pneumothorax using an improved pocket sized Heimlich valve.
Chan KY ; Fikri-Abdullah M ; Sajjad M ; Adeeb SM
The Medical Journal of Malaysia 2003;58(4):597-599
We report two patients, who have used Pneumostat to replace the conventional underwater seal drainage system for recurrent pneumothorax. Both patients had required repeated chest tube insertion for recurrent pneumothorax and needed a longer hospital stay. Both patients were able to be discharged with the Pneumostat device and were reviewed in outpatient clinic. Both patients had optimal clinical improvement and chest X-ray showed no residual pneumothorax.
*Ambulatory Care
;
*Chest Tubes
;
Drainage/*instrumentation
;
Pneumothorax/*therapy
9.Chemical Pleurodesis Using Doxycycline and Viscum album Extract.
Kyung Sub SONG ; DongYoon KEUM ; Jae Bum KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2017;50(4):281-286
BACKGROUND: In chemical pleurodesis for managing pulmonary air leak, tetracycline derivatives are commonly used, and their effectiveness has been established in many studies. Recently, a Viscum album extract was used in chemical pleurodesis. We compared the effects of V. album with those of a tetracycline derivative (doxycycline) to demonstrate the therapeutic effectiveness of the V. album extract in chemical pleurodesis for managing pulmonary air leak. METHODS: Between October 2010 and October 2016, chemical pleurodesis was performed using doxycycline in 40 patients and the V. album extract in 37 patients. Thirty-three patients were in the postoperative state after pulmonary resection, and 44 patients suffered from spontaneous pneumothorax. RESULTS: No statistically significant difference in the success rate was observed between the 2 groups (V. album extract and doxycycline). In both groups, chest pain was the most common complication. More patients in the doxycycline group complained of severe chest pain (42.1% vs. 13.5%, p=0.006). In the V. album extract group, 24.3% of the patients required a chest tube to drain the pleural effusion after cessation of the air leak (doxycycline group: 5%, p=0.022). Further, the amount of pleural effusion drained on the day after the last chemical pleurodesis in the V. album extract group was greater than that in the doxycycline group (162.2±170.2 mL vs. 97.0±77.2 mL, p=0.032). All patients were discharged from the hospital without complications after pleural effusion drainage. CONCLUSION: Considering that treatment using the V. album extract was less painful, V. album might be a feasible option for chemical pleurodesis. However, pleural effusion should be monitored carefully when using V. album extract for treating patients suffering from air leak.
Chest Pain
;
Chest Tubes
;
Doxycycline*
;
Drainage
;
Humans
;
Pleural Effusion
;
Pleurodesis*
;
Pneumothorax
;
Tetracycline
;
Viscum album*
;
Viscum*
10.Comparison of Conventional Thoracoscopic Wedge Resection and Modified Transaxillary Minithoracotomy with Thoracoscopy for the Treatment of Primary Spontaneous Pneumothorax.
Soon Ho CHOI ; Mi Kyoung LEE ; Dae Woong RYU ; Sam Youn LEE ; Jong Bum CHOI
The Korean Journal of Thoracic and Cardiovascular Surgery 2005;38(5):371-376
BACKGROUND: Retrospective study was carried out on patients with primary spontaneous pneumothorax with the aim of determining if conventional thoracoscopic wedge resection is superior to modified transaxillary minithoracotomy with thoracoscopy in the surgical treatment. MATERIALS AND METHOD: 160 patients, aged 14 to 35 years with primary spontaneous pneumothorax were involved in this study. Patients were assigned to two groups by surgical technique; Conventional thoracoscopic wedge resection (group A; n=80) and modified transaxillary minithoracotomy with thoracoscopy (group B; n=80). Apical pleural abrasion & talc poudrage were performed in all cases. This study evaluated the following factors: duration of operation, days of analgesics used after operation, number of no air leak on the first postoperative day, duration of indwelling chest tube, hospital stay, postoperative complications, chronic chest pain (during follow-up) and resumption of normal activity. Relapses (ipsilateral recurrence after discharge) during follow-up periods were evaluated. RESULT: No significant differences were found in any of the factors studied in either group. CONCLUSION: Conventional thoracoscopic wedge resection and modified transaxillary minithoracotomy with thoracoscopy offer similar results in the surgical treatment of primary spontaneous pneumothorax. The rate of complication is low and the level of pain is acceptable without long-term sequele. Therefore, modified transaxillary minithoracotomy with thoracoscopy method appears as a valuable alternative surgical technique.
Analgesics
;
Chest Pain
;
Chest Tubes
;
Follow-Up Studies
;
Humans
;
Length of Stay
;
Pneumothorax*
;
Postoperative Complications
;
Recurrence
;
Retrospective Studies
;
Talc
;
Thoracoscopy*
;
Thoracotomy