parapneunomonic effusion is a common accompaniment of bacterial pneumonia and mostly is resolved with medical management. we studied the etiology and possible underlying causes of complicated parapneumonic effusion and timing of pulmonary decortication. a descriptive study on 34 patients with postpneumonic empyema which required decortication carried out. post surgical and post traumatic empyem...

Tibial fracture is the most common long bone fracture. Because of the superficial location of the tibia, surgery is usually required for the treatment of fractures to achieve union. The goal of this study was to evaluate the effect of decortication on the faster union of fractures treated with compression plates. In this clinical trial, conducted from 2009 to 2013, 42 patients were randomly ass...

OBJECTIVES To present our experience of treating symptomatic renal cysts by different techniques of laparoscopic decortication, as there are many treatment options for such cysts, each of them with advantages and drawbacks. PATIENTS AND METHODS Between January 2002 and December 2012, 51 patients underwent laparoscopic renal-cyst decortication; 15 of them had recurrent cysts after percutaneous...

OBJECTIVE What is the impact of the omental wadding technique on decreasing the incidence of recurrence after laparoscopic decortication of the symptomatic simple renal cyst? This is the question we are trying to answer through this study. PATIENTS AND METHODS This is a cohort study of 14 consecutive patients who underwent transperitoneal laparoscopic decortication of a symptomatic simple ren...

OBJECTIVE To study retrospectively the efficacy of decortication in patients with different stages of ADPKD and to determine which stage for decortication is more appropriate. MATERIALS AND METHODS We analyzed 137 patients with ADPKD from 2001 to 2010. All patients were divided into three stages. A total of 70 patients underwent decortication, and we studied intraoperative indicators and post...

A prospective multi-institutional study has been initiated in Japan to evaluate the feasibility of induction chemotherapy using pemetrexed plus cisplatin, followed by pleurectomy/decortication aimed at macroscopic complete resection in patients with resectable malignant pleural mesothelioma. The study was initiated on September 2012, for which 24 patients will be recruited over a period of 2 ye...

to review our experience in treatment of patients with thoracic empyema at a teaching hospital chart of patients were retrospectively reviewed over a 72-month period. a total of 112 patients (94 men, 18 women, mean age: 39, range: 6-89 years) underwent therapeutic procedures for thoracic empyema between 2001-2006. the causes of empyema included parapneumonic empyema (60.7%), thoracic trauma (20...

HISTORICAL BACKGROUND: Thoracic surgery as a specialty had its beginning in the surgical treatment of pulmonary tuberculosis and its pleural space problems. This began with using sand bags and positioning of patients with the diseased side down. Fowler (1893) and Delorme (1894) were the first physicians to describe how to free the entrapped lung and in 1886 Delorme first used the term decortica...

Temporary decortication induced by acute cerebral ischemia or insulin coma reinstated the initial syndrome of emotional hyperreactivity in rats fully recovered from septal forebrain lesions. The effect was virtually the same as observed earlier with the use of spreading cortical depression. Surprisingly it was found that insulin coma induced during the acute phase of the septal syndrome but not...

PURPOSE To provide a summary of the relevant literature regarding the impact of surgical cyst decortication on hypertension, renal function, and pain management in patients with autosomal dominant polycystic kidney disease (ADPKD). METHODS Data collection was conducted via a Medline search using the subject headings autosomal dominant polycystic kidney disease, surgery, decortication, and mar...