PURPOSE Surgical operation for bullous emphysema is indicated for patients with symptoms related to the compression of giant bullae (usually >30% of hemithorax) or other related complications, such as infection, rupture, or bleeding. Video-assisted thoracoscopic surgery (VATS) has been widely applied in the diagnosis and treatment of patients with intrathoracic diseases, including bullous emphy...

The need for a less invasive procedure than surgical lung volume reduction that can produce consistent improvements with reduced morbidity remains a medical goal in patients with emphysema. We sought to determine the effect of bronchoscopic thermal vapour ablation (BTVA) on lung volumes and outcomes in patients with emphysema. 44 patients with upper lobe-predominant emphysema were treated unila...

A 29 year old male patient of Indian ancestry was admitted to an outside hospital with rapid deterioration of his level of consciousness. The patient required mechanical ventilation and transfer to MICU at Hamad Medical Corporation. The patient remained hypoxic. Chest X-ray, CT of chest, abdomen, pelvis and proximal areas of both lower limbs were performed. Pneumomediastinum, pneumoperitoneum, ...

Bullectomy, lung volume reduction surgery and transplantation can palliate dyspnoea in emphysema. The available data suggest that their mode of action, at least with regard to pulmonary mechanics, includes beneficial effects on dynamic hyperinflation. In single lung transplant recipients, this may be asymmetric, causing native lung hyperinflation.

thy after lumbar spine surgery. Arch Ophthalmol 1994; 112: 925–31 4 Practice advisory for perioperative visual loss associated with spine surgery—a report by the ASA Task Force on Perioperative Blindness. Anesthesiology 2006; 104: 1319–28 5 Lee LA, Roth S, Posner KL, et al. The American Society of Anesthesiology Postoperative Visual Loss Registry—analysis of 93 spine surgeries associated with p...

BACKGROUND Esophageal rupture is an extremely rare condition to occur to a pregnant or postnatal woman. Esophageal ruptures have been previously described in the literature; however, they are most common in the setting of hyperemesis gravidarum. CASE PRESENTATION This case report describes a 27-year-old white woman who began complaining of central chest pain and shortness of breath 3 hours af...

OBJECTIVE To describe the medical and surgical management of noniatrogenic traumatic tracheobronchial injuries. PATIENTS AND METHOD From January 1993 to July 2004, 15 cases of traumatic tracheobronchial injury were treated in our department. The diagnosis was established by bronchoscopy and a computed tomography chest scan was performed on all patients. Surgical treatment was selected for pat...

BACKGROUND We hypothesized that, in patients with pulmonary fibrosis combined with emphysema, clinical characteristics and outcomes may differ from patients with pulmonary fibrosis without emphysema. We identified 102 patients who met established criteria for pulmonary fibrosis. The amount of emphysema (numerical score) and type of emphysema (centrilobular, paraseptal, or mixed) were characteri...

clinical and biochemical evidence of obstructive jaundice (bilirubin level 52 μmol/l). Abdominal ultrasound and computed tomography (CT) suggested that the level of obstruction was in the region of the ampulla of Vater, with no evidence of metastatic disease. He was subsequently subjected to an endoscopic retrograde cholangiopancreatographic (ERCP) examination with diagnostic and therapeutic in...