21/Jun/2023
Post-thoracotomy paraplegia after oxidized cellulose spinal compression
DOI: 10.31744/einstein_journal/2023RC0078
ABSTRACT Post-thoracotomy paraplegia after non-aortic surgery is an extremely uncommon complication. A 56-year-old woman presented with a 1-year history of progressive shortness of breath. Computed tomography revealed a locally advanced posterior mediastinal mass involving the ribs and the left neural foramina. Tumor excision with a left pneumonectomy was performed. Post-resection, bleeding was noted in the vicinity of the T4-T5 vertebral body, and the bleeding point was packed with oxidized cellulose gauze (Surgicel®). Postoperatively, the patient complained of bilateral leg numbness […]
Keywords: Cellulose, oxidized; Hemostasis; Iatrogenic disease; Paraplegia; Spinal cord compression; Thoracotomy
04/Oct/2019
Traditional chest drainage versus drainage by thoracotomy: a prospective randomized study
DOI: 10.31744/einstein_journal/2020AO4409
ABSTRACT Objective To compare the chest tube drainage by the same thoracotomy intercostal space with the traditional approach in patients undergoing muscle-sparing thoracotomy. Methods We evaluated 40 patients aged ≥18 years who underwent elective muscle sparing thoracotomies. Patients were divided into two groups of 20 patients. One group underwent thoracic drainage by the same intercostal space of thoracotomy and the other by traditional chest drainage approach. Results The mean length of hospital stay for the intercostal drainage group in the […]
Keywords: Drainage; Pain; Thoracic surgery; Thoracotomy