Although better nutritional support has improved the growth rates in children, occurrence of primary spontaneous pneumothorax also been increasing children. The current study attempts to investigate and recurrence efficacy surgery for young adults children.A total 840 patients were treated at our hospital from January 2006 December 2010. Exclusion criteria this age >25 or secondary, traumatic iatrogenic pneumothorax, a 517 included. Patients classified into three groups according first...

Objectives: As a protective measure to slow down the transmission of coronavirus disease 2019 in Korea, social distancing was implemented from February 29 th , 2020.This study aimed evaluate prevalence domestic incidents and intentional injury during March 2020 when effect.Methods: There were 12,638 patients who visited Level 1 trauma center Chungnam province with injuries incidents, familial discord, injury.The compared average previous 5 years, for every between 2015 2019.Results: The...

Single incision thoracoscopic surgery (SITS) involves only one intercostal space with minimal skin incision, which means it can be the most minimally invasive technique up to date. We minimized a length of 2.5 cm achieve less chest wall trauma and more cosmesis during SITS lobectomy for benign pulmonary disease. Four patients who had bronchiectasis [left lower lobe (LLL)], congenital lobar emphysema upper (LUL)], aspergilloma [right (RUL)], hamartoma (RUL) were planned undergo lobectomy....

The management of contralateral bullae incidentally found in radiological studies is controversial, largely due to the unpredictability natural course bullae. This study aimed identify factors associated with occurrence primary spontaneous pneumothorax (PSP), and characterize outcomes studies.From January 2005 December 2008, 285 patients were admitted our institution for PSP, underwent follow-up until August 2012. relationships between following variables evaluated: age, sex, smoking...

It is well known that immunoglobulin G4 (IgG4)-related sclerosing disease usually occurs in the pancreas, bile duct and gall bladder, but not mediastinum, trachea or superior vena cava (SVC). In this case, a patient underwent mediastinal mass excision resection repair for intratracheal 15 years ago. This was diagnosed postoperatively as an inflammatory pseudotumour (plasma cell granuloma). Subsequently, found to have recurred SVC. We performed innominate vein right atrium auricle bypass...

Broncho-pleural fistula (BPF) and esophago-pleural (EPF) after pulmonary resection are challenging to manage. BPF is controlled by irrigation sterilization, but such therapy not sufficient promote closure of EPF, which usually requires surgical management. However, it generally difficult select an appropriate method for EPF. Here, we report a case concomitant EPF left completion pneumonectomy, in both fistulas were closed through right thoracotomy.

Concomitant rupture of the subclavian vessels and left main bronchus caused by blunt trauma is a serious condition. Moreover, diagnosis tracheobronchial injury with can be difficult. This report describes case 33-year-old man who suffered from that resulted in artery vein. The patient underwent an operation for vascular control. On postoperative day 3, was found to transected on computed tomography scan bronchoscopy. anastomosed end-to-end fashion. He recovered without any notable problems....

Gorham-Stout Syndrome (GSS) is a rare disease characterized by localized bone resorption.Any part of the skeleton may be affected; therefore, symptoms can vary depending on site involved.Pathological analysis reveals lymphovascular proliferation and osteolysis in affected lesion, but etiology poorly understood.When GSS occurs chest, chylothorax or respiratory failure occur.Thus far, standard treatment for has not been established, prognosis remains unknown.The following case report describes...

The thyrohyoid membrane is located between the hyoid bone and thyroid cartilage. Transection of can be fatal.A 54-year-old man presented to emergency room after attempting commit suicide by cutting his neck. An endotracheal tube was inserted through membrane, which had been cut almost completely. After a tracheostomy, temporary wound closure performed due coagulopathy caused hemorrhagic shock. Several hours later, hyoidothyroidopexy performed. Damage control surgery applied this patient's...

A 52-year-old male patient who underwent multiple wedge resections experienced postoperative acute respiratory distress syndrome in both lungs after Viscum album pleurodesis. Despite initial rapid deterioration clinical condition and progression of bilateral lung infiltration, he exhibited a relatively smooth recovery with marked response to glucocorticoid treatment. Our case report suggests that care must be taken guard against the development complications use for However, view clinically...

Post-traumatic pseudoaneurysm of the gastric artery is very rare. Prompt diagnosis and management are necessary because mortality high due to massive intra-abdominal hemorrhage. A 79-year-old man complained abdominal pain after slipping down 2 days prior admission. Abdominal computed tomography showed some hemoperitoneum with suspicious contrast leakage aneurysmal change left artery. Pseudoaneurysm was treated by angioembolization. After angioembolization, he recovered without any problems....

Traumatic cardiac injury is not rare. Especially contusion with sternal fracture due to blunt trauma in common. But rupture direct from fractured sternum very There were two case of supposed be sternum. We operated immediately, so we could save these patients. Our cases show that it's rare but make right side heart.

<p>Cardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe case of a 45-year-old male driver in whom traffic accident resulted rupture left internal thoracic artery (ITA), extra-pericardial hematoma, and sternal fracture. After resuscitation, he was scheduled to undergo angio-embolization repair ruptured ITA, but suddenly...

The neck is a particularly critical region for penetrating injuries due to the close proximity of trachea, esophagus, blood vessels, and spinal cord. An open injury has potential serious morbidity mortality. purpose this study evaluate assessment management injuries.

Chylothorax is mostly iatrogenic, with blunt chest trauma being a rare cause. Treatment depends on the volume of drainage. Specifically, conservative treatment, such as total parenteral nutrition and pleural drainage, performed in cases low daily output (< 500 mL/day). Patients persistent chylothorax despite medical treatment or high (> 1-1.5 L/day) are candidates for surgical radiological intervention. We present case delayed-onset after caused by thoracic spine fractures, which was...

Since its implementation, flexible fiberoptic bronchoscopy (FBS) has played an important role in the diagnosis and treatment of tracheobronchial tree pulmonary disease. Although FBS is often performed by endoscopists, it also been surgeons, albeit rarely. This study investigated from surgeon's perspective.

An ischemia-reperfusion injury of the intestine due to blunt trauma is very rare. Low blood flow can result in an incarceration and small intestine. A 63-year-old woman fell, producing a splenic rupture. Despite successful angio-embolization rupture, patient continued suffer from hypotension. During laparotomy identify bowel injury, no intestinal perforation was found. However, we found hemorrhagic infarction with congestion submucosal vessels. The part resected reconstructed jejuno-colic...

We present a case report of penetrating neck injury from the anterior to right thoracic cavity. When we encounter such in operating room, it is difficult decide on an approach that exposes entirety wound. In this case, only partial sternotomy with thoracotomy (extended “J”-shaped incision) provides full exposure injured area. Such incision may be very effective selective cases. Key Words: Neck injury; Sternotomy; Thoracotomy

Acute mediastinitis after gastric rupture due to blunt trauma is very rare. In such cases, the esophageal hiatus widens elevated intra-abdominal pressure, and spillage of contents causes acute posterior mediastinitis. The present report describes case a 30-year-old man who injured his left flank, which resulted in rupture. During emergency laparotomy, ruptured stomach was observed abdominal cavity mediastinum were found be filled with contents. Following partial gastrectomy, multiple...