Video-assisted thoracoscopic surgery for prevention of postpneumonectomy syndrome: A case report

Postpneumonectomy syndrome is a pathological condition consisting in a persistent violation of the function of external respiration caused by the inflection of the trachea and/or the main bronchus and manifested by respiratory insufficiency. The article describes a method of video-assisted thoracosc...

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Veröffentlicht in:International journal of surgery case reports 2023-10, Vol.111, p.108738, Article 108738
Hauptverfasser: Nikulin, Andrey, Diduev, Gamzat, Romanikhin, Arkady, Khorobrykh, Tatyana, Ivashov, Ivan, Singh, Thakur Ajay
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Sprache:eng
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Zusammenfassung:Postpneumonectomy syndrome is a pathological condition consisting in a persistent violation of the function of external respiration caused by the inflection of the trachea and/or the main bronchus and manifested by respiratory insufficiency. The article describes a method of video-assisted thoracoscopic surgery for intraoperative prevention of the development of postpneumonectomy syndrome by installing a mesh implant in a patient with central cancer of the right lung. The range of alternatives that have been put forth for the treatment and prevention of the emergence of postpneumonectomy syndrome, on the one hand, demonstrates the relevance of the issue and, on the other, demonstrates the inadequate outcomes of the employed techniques. As a result of a mesh implant that is rigidly linked to the ribs, the preventative strategy we describe reliably prevents mediastinal displacement and doesn't necessitate repeated surgical intervention. •Mesh implantation is a reliable method of preventing the onset of PPE syndrome.•The mesh's fixation prevents mediastinum displacement during a cough shock.•The use of a mesh prevents the formation of fluid in the paramediastinal space.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2023.108738