Microsurgical robotic suturing of sural nerve graft for sympathetic nerve reconstruction: a technical feasibility study.

Conclusions: Our case series demonstrates the safety and clinical feasibility of microsurgical robot-assisted sural nerve grafting for achieving SNR in patients with post-operative CS. PMID: 32190359 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research

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General anesthesia with double-lumen endobronchial intubation is considered mandatory for thoracoscopic bullectomy. We assessed the safety and feasibility of thoracoscopic bullectomy for treatment of primary spontaneous pneumothorax (PSP) under intubating laryngeal mask airway (ILMA) with spontaneous breathing sevoflurane anesthesia combined with thoracic paravertebral block (TPB). From January 2018 to December 2018, some 34 consecutive patients with PSP were treated by thoracoscopic bullectomy under ILMA with spontaneous breathing sevoflurane anesthesia combined with TPB (study group). To evaluate the safety and feasibil...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
We present five cases of TBX4 related DPLD/PH who survived beyond infancy with different disease progression. Registry-based follow-up is mandatory to understand genotype-phenotype correlation and improve treatment strategies and prognosis for this rare disease.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Paediatric bronchology Source Type: research
Conclusion: CT based DSS seems to predict need for early surgery and recurrence after first episode of PSP. CT can be used to risk stratify PSP patients and identify those at risk of failure of conventional treatment and early recurrence. Smoking status appears to have a link with high grade DSS. Further prospective randomized studies are needed to validate these findings.Table 1.Dystrophy Severity Score (DSS) adapted from World J Surg. 2016;40(5):1112-20CT verified air-containing lesions0 point1 point2 pointsTypeNilBlebs (1cm)NumberNilSingleMultipleDistributionNilUnilateralBilateral
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Imaging Source Type: research
This study describes the current prevalence of pneumothorax secondary to DMD and other neuromuscular diseases. In November 2018, we sent a questionnaire survey by e-mail to 40 institutions registered in the muscular dystrophy clinical trial network (MDCTN), a Japanese network for clinical research and clinical trials for neuromuscular diseases established in 2012.
Source: Neuromuscular Disorders - Category: Neurology Authors: Source Type: research
Collagen VI related muscular dystrophy is caused by dominant or recessive mutations in the COL6A1, COL6A2 or COL6A3 genes and comprises of a spectrum of rare neuromuscular disorders including the early-onset and more severe Ulrich congenital muscular dystrophy, the milder adult form of Bethlem myopathy and an intermediate phenotype. They are characterised clinically by progressive muscle weakness, distal hyperlaxity, joint contractures and respiratory insufficiency. Respiratory failure develops with progression of the condition and is caused by respiratory muscle (diaphragm and intercostal) weakness as well as spinal and thoracic deformities.
Source: Neuromuscular Disorders - Category: Neurology Authors: Source Type: research
Purpose of review Anesthesia for cardiac surgery has traditionally utilized high-dose opioids to blunt the sympathetic response to surgery. However, recent data suggest that opioids prolong postoperative intubation, leading to increased morbidity. Given the increased risk of opioid dependency after in-hospital exposure to opioids, coupled with an increase in morbidity, regional techniques offer an adjunct for perioperative analgesia. The aim of this review is to describe conventional and emerging regional techniques for cardiac surgery. Recent findings Well-studied techniques such as thoracic epidurals and paravertebr...
Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: REGIONAL ANESTHESIA: Edited by Nabil Elkassabany Source Type: research
A 25 ‐year‐old male with Duchenne muscular dystrophy and a 73‐year‐old male with motor neurone disease both presented with chest pain and increasing dyspnoea following routine mechanical insufflation‐exsufflation or lung volume recruitment, on a background of long‐term non‐invasive ventilat ion. In each case, chest radiograph revealed a pneumothorax which resolved with intercostal catheter insertion and cessation of routine lung volume recruitment. This rare but serious complication highlights the need for careful risk/benefit analysis by clinicians prescribing these therapies. A 25 ‐year‐old male with Du...
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Invited Case Report Source Type: research
Pneumothorax (PT) is a rare complication of Ullrich congenital muscular dystrophy (UCMD). To determine the clinical characteristics of UCMD with PT and the histological features of lung tissue in mice with a Col6a1 dominant mutation. Among 25 UCMD patients treated at NCNP hospital, 4 (16%) developed PT. Case 1 was a 16-year-old girl who had received noninvasive positive-pressure ventilation (NPPV) since age 11 years. At age 16 years, she was admitted to the hospital due to chest pain and dyspnea.
Source: Neuromuscular Disorders - Category: Neurology Authors: Source Type: research
We present a novel alternative technique for sympathetic blockade of upper extremity via thoracic epidural approach. Patient concerns: The patient-reported anxiety about “the placement of the needle in the front of the neck” and severe pain secondary to complex regional pain syndrome. Diagnoses: Complex regional pain syndrome type-1 with involvement of upper extremity. Interventions: A patient with upper extremity complex regional pain syndrome underwent sympathetic blockade of the upper extremity via thoracic epidural approach with advancement of a catheter through neural foramen and positioning the c...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Condition:   Pneumothorax Intervention:   Procedure: for thoracoscopic ablation of cervical sympathetic chain Sponsor:   Rambam Health Care Campus Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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