Medical thoracoscopy/pleuroscopy: manual and atlas by Robert Loddenkemper, Praveen N. Mathur, Marc Noppen, Pyng

By Robert Loddenkemper, Praveen N. Mathur, Marc Noppen, Pyng Lee

In Medical Thoracoscopy/Pleuroscopy: guide and Atlas, foreign specialists clarify the present technique and show assorted technical techniques to clinical thoracoscopy/pleuroscopy (MT/P) within the analysis and remedy of pleuropulmonary diseases.

A mix of instructive guide and atlas, this e-book provides scientific situations with symptoms, concepts, and results for every technique. within the 'Atlas', endoscopic images display the applying of this minimally invasive strategy in numerous pathologies, from pleural effusion to varied manifestations of lung cancer.

Features:

  • Diagnostic and healing symptoms mirror new
    technology resembling the semi-rigid/semi-flexible pleuroscope, CT/MR imaging, and
    video-assisted thoracoscopic surgical procedure (VATS)
  • Over a hundred and fifty full-color endoscopic pictures and a hundred and twenty
    figures improve the textual content
  • An accompanying DVD includes videos of eight average
    clinical circumstances, plus useful details at the use of talc poudrage, the
    induction of a pneumothorax, and more

This finished visible consultant is an critical primer for citizens and fellows in pulmonology or pneumology, and for respiration physicians, internists, or thoracic surgeons.

System necessities for the DVD: Language: English; sector code: zero; photo structure: 4:3 NTSC; period: 33 mins (approximately); disk structure: DVD-5.

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Sample text

The thickened visceral pleura (peel) is incised and a blunt dissection is made by which the peel can be removed from the lung. Gentle ventilation and partial expansion of the lung facilitate this dissection. The process continues until there is a minimal amount of pleural debris and the lung fully reexpands to fill the entire pleural space. However, there are thoracic surgeons who find VATS a tedious operation and find a muscle-sparing thoracotomy to be an efficient way to complete the decortication.

The typical changes with diffusely thickened pleura, multiple adhesions, and sometimes formation of encapsulating membranes with fluid loculations, were present in 76 % of cases. By comparison, the pathognomonic picture of so-called “sagolike” pleuritis with miliary tuberculous granulomas and without fibrin layers was seen in only 24 % of cases. 0005). 005).

2008). Less than 10% of pleural fluids are smear-positive and culture is positive in only approximately 30% (20–50 %) of cases. The diagnostic yield of closed needle pleural biopsies is much better than in malignant pleural effusions due to the usually more disseminated involvement of the whole pleural surface. In a review of the literature on 1225 cases, the yield averaged 69 % with a range of 28–88 %, including results for multiple biopsies and TB cultures (Loddenkemper et al. 1983b). 2 % with the Tru-Cut needles (Koegelenberg et al.

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