BACKGROUND Thoracostomy tube insertion is one of the common bedside procedures in emergency medicine and many acute specialties. Dislodgement of thoracostomy tube from the connection tube of chest drainage system is an important problem with potential complications such as contamination, infection and pneumothorax. Besides, mere loosening can also lead to malfunction. It is a common practice to...

O yen the past ten years, the spectrum of diagnostic techniques available to the pulmonary physician has expanded greatly. Fiberoptic bronchoscopy with transbronchial biopsy, transbronchial needle aspiration, and newly developed laser applications exemplify one aspect of the explosion. Percutaneous needle biopsy and thoracoscopy are examples of the wider scope of invasive techniques now employe...

INTRODUCTION Tube thoracostomy complications depend on the operator's skill, patients' general condition and the place in which the procedure is done. The present study aimed to compare the quality and complications of tube thoracostomy carried out by emergency medicine residents (EMRs) and surgery residents (SRs). METHODS This cohort study was conducted on 18-60 years old trauma patients in ...

PURPOSE Several risk factors for development of reexpansion pulmonary edema (REPE) after drainage of pneumothoraces have been reported, but the association between the method of thoracostomy and the development of REPE is unknown. The aim of this study was to compare the frequency of REPE after treatment of spontaneous pneumothorax with trocar or hemostat assisted closed thoracostomy. MATERIA...

Introduction: Transhiatal esophagectomy is a widely accepted approach for palliative resection of subcarinal esophageal cancers. This study was designed to evaluate the necessity of routine thoracostomy tube insertion in this technique.  Methods: This descriptive study was conducted on 123 consecutive patients with esophageal cancers undergoing transhiatal esophagectomy from March 2001 to Fe...

BACKGROUND Invasive fungal infections (IFI) contribute significantly to mortality and morbidity in patients receiving myelosuppressive chemotherapy for hematologic malignancies. Acquired gastropulmonary fistula is a rare complication of IFI. MATERIAL AND METHODS We present a case history of a patient with malignant myeloma. She was treated with autologous stem cell transplantation and chemoth...

The cross-sectional study conducted at the Isra University Hospital, Hyderabad was to determine the frequencies of various indications and complications of tube thoracostomy performed by general surgeons between February 2003 and January 2006. The data was analyzed and compared with other local and international studies. One hundred and five tube thoracostomies were performed over the above men...

BACKGROUND The role of drainage, intrapleural fibrinolytics, and/or surgery in the management of thoracic empyema is controversial. OBJECTIVES We aimed to investigate the operational practice of empyema management at our hospital. METHODS Between January 2001 and December 2008, all patients with thoracic empyema were retrieved. After exclusion of patients with malignant effusion, traumatic ...

BACKGROUND Usefulness of prophylactic antibiotics following tube thoracostomy remains controversial in the literature. In this study, we aimed to investigate the consequences of closed tube thoracostomy for primary spontaneous pneumothorax without the use of antibiotics. METHODS One-hundred and nineteen patients underwent tube thoracostomy for primary spontaneous pneumothorax. None of them re...