![]() This can be either transthoracic or transhiatal as a selective or mass ligation and has a probability of success of over 90%. If there is any indication of persistent leakage, rapid surgical reintervention appears appropriate. In the case of postoperative chylothorax, a conservative therapeutic trial may be undertaken with drainage of up to 1000 ml per day for up to one week. Meta-analyses confirm the effectiveness of this measure, with a reduction in the risk to less than 1%. With this risk, there is the possibility of a prophylactic intraoperative ligature of the thoracic duct, either as a selective or mass ligation. The risk of chyle leakage after oesophagectomy increases with the difficulty of mediastinal dissection and is reported to be around 3% for oesophagectomy. This article provides an overview of the existing literature on the prevention and surgical therapy of chylothorax. Glatz, Torben Marjanovic, Goran Hoeppner, JensĬhylothorax is a rare complication after thoracic trauma or surgery, especially oesophagectomy, which, if left untreated, can be potentially life-threatening. To our knowledge, this is the first report of postoperative chylothorax successfully treated by the use of a fibrin sealant patch. Fibrin sealant patches (TachoSil®) were placed over the source of leak with complete resolution of chylous effusion. At subsequent surgical re-exploration for persisting chylothorax, accurate inspection of pleural cavity revealed residual chyle leakage. Since conservative measures were not effective, we performed direct ligation of lymphatic vessels and pleurodesis. We report the treatment of postoperative chylothorax after resection of mediastinal ganglioneuroma in a 17-year-old boy. These patients present high risk of malnutrition due to the constant loss of chyle, therefore a suitable nutritional management is essential to avoid more complications.Ĭhylothorax after mediastinal ganglioneuroma resection treated with fibrin sealant patch: a case reportĬhiarelli, Marco Achilli, Pietro Guttadauro, Angelo Vertemati, Giuseppe Terragni, Sabina De Simone, MatildeĬhylothorax is a severe condition resulting from the accumulation of chyle into the pleural space. The treatment of chylothorax is not standardized and it is necessary a multidisciplinary approach: nutritional, pharmacological, respiratory and even surgery. The pulmonary disease is characterized by dyspnea, pleural effusion, hemoptysis and spontaneous pneumothorax, being the chylothorax a frequent complication in the course of this disease, appearing in up to 30% of cases. Lymphangioleiomyomatosis (LAM) is a rare disease that affects women in fertile age and presents a systemic progressive evolution, being the lung and the mediastinic lymph nodes the most affected organs. Palmeiro, R Arosa, V Cuerda, C Bretón, I Camblor, M RodrÃguez, Ma C GarcÃa Peris, P The efficacy of the half somersault maneuver in comparison to the epley maneuver in patients with benign paroxysmal positional vertigo. Determinants for a successful Sémont maneuver: an in vitro study with a semicircular canal model. Obrist D, Nienhaus A, Zamaro E, Kalla R, Mantokoudis G, Strupp M. Effect of the Epley maneuver and Brandt-Daroff exercise on benign paroxysmal positional vertigo involving the posterior semicircular canal cupulolithiasis: a randomized clinical trial. Home Epley maneuver.Ĭhoi SY, Cho JW, Choi JH, Oh EH, Choi KD. Effect of alternate nostril breathing exercise on blood pressure, heart rate, and rate pressure product among patients with hypertension in JIPMER, Puducherry. The impact of pursed-lips breathing maneuver on cardiac, respiratory, and oxygenation parameters in copd patients. ![]() Sakhaei S, Sadagheyani HE, Zinalpoor S, Markani AK, Motaarefi H. ![]() Relaxation techniques: breath control helps quell errant stress response. Treatment of persistent postural-perceptual dizziness (PPPD) and related disorders. ![]() Vestibular migraine: treatment and prognosis. Vestibular rehabilitation in benign paroxysmal positional vertigo: reality or fiction? Int J Immunopathol Pharmacol. ![]() Bressi F, Vella P, Casale M, Moffa A, Sabatino L, Lopez MA, Carinci F, Papalia R, Salvinelli F, Sterzi S. ![]()
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