Transabdominal assisted ICD insertion minimise the malposition of tubes our experience compared with standard technique
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background: Tube thoracostomy is widely used throughout the medical, surgical, and critical care specialities. It is generally used to drain pleural collections either as elective or emergency. Complications resulting from tube thoracostomy can occasionally be life threatening. Normally after the closure of abdomen ICD is inserted blindly in 4th or 5th intercostal space in safe triangle. Still the risk of lung injury or malplacement is possible. In modified technique ICD is inserted into pleural cavity before abdomen closed with transabdominal manipulation Aim: To compare the between the tube thoracostomy by standard technique and our assisted technique. Materials and Methods: we have operated 50 cases of carcinoma of the postcricoid region since Jan 2012 to Dec 2016. They underwent laryngo-pharyngo-esophagectomy with gastric pullup. Random cases were selected for intercostals drain insertion either trans-abdominal assisted technique or by standard technique. Results: Total 50 cases of gastric pull-up were operated. In that 50% had ICD insertion by standard technique and other 50% by trans-abdominal assisted technique. Three patients (12%) had malposition of drains in standard technique which required reposition. None of the patients had malposition of ICD in modified technique. Conclusion: Tube thoracostomy, though commonly performed is not without risk. Assisted tube insertion technique has lower risk of complications and it can be recommended.
Authors and Affiliations
Siddappa K Thammaiah, Krishnappa Ramachandrappa
Keywords
Related Articles
- EP ID EP176138
- DOI -
- Views 107
- Downloads 0
A study of various haematological parameters in patients with non-haematological malignancies with reference to age and sex
Introduction: A survey of 38 studies, most of which evaluated anaemia prevalence in cancer patients before treatment found that the prevalence ranged from 5% (prostate cancer) to as high as 90% (multiple myeloma).The pre...
Effect of pterygium surgery by using conjunctival auto graft and amniotic membrane graft on astigmatism and visual acuity
Introduction: Pterygium is known to cause astigmatism which can have significant effect impact on vision astigmatism increases with increasing grades of pterygium and astigmatism decreases postoperatively after pterygium...
A rare case of lymphangioliomyomatosis with recurrent pneumothoracis
We are reporting a rare and an interesting case of lymphangioliomyomatosis in a middle aged woman with past history of bilateral pneumothacis, who presented with complaints of right sided chest pain and suden onset of br...
To detect presence and severity of cardiac dysfunction in HIV infected children in central India
Objective: Evaluate cardiac dysfunction in HIV infected children and to assess the severity of disease with cardiac dysfunction Design: Longitudinal observational study. Setting: Pediatric wards, Pediatric intensive care...
A comparative study of outcomes in management of breast abscess by ultrasound guided needle aspiration against incision and drainage
Acute inflammation of the breast usually occurs in lactating women and to a lesser extent in non-lactating women. The traditional treatment of breast abscess is by surgical incision and drainage. But now days minimally...