Do you want to publish a course? Click here

The diagnostic and therapeutic role of Pericardial Window in Pericardial effusions

دور النافذة التامورية في تشخيص و علاج انصبابات التامور

1206   0   0   0.0 ( 0 )
 Publication date 2018
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




Ask ChatGPT about the research

The main aim of this study is to analyze all cases of pericardial effusions - except post cardiac procedures - who were admitted to surgical department in Al-Assad and Tichreen University Hospital in the period between 2007-2016. (63) cases of Pericardial effusions were analyzed, (38) male and (25) female, their ages were ranging between (17-67) years. The most important two causes of pericardial effusions were renal failure (50.7%) and Malignancies (34.9%). lung cancer was the leading cause of Malignancies accounting 17.4% of whole cases and 50% of Malignancies. Pericardial window via left mini thoracotomy was the preferred procedure in our study. 68.2% of the patients under went this procedure, recurrent rate was 4.6%, and the amount of recurrent pericardial effusion was minimal and didn’t need any management. Pericardiocentesis was performed in 39.6% of our patients, recurrent rate was very high 80%, therefore it was abondend as a method of treatment and its role was considered only in hemodynamically unstable patients or as a first step of preparation for pericardial window. Pericardial window via subxyhoid under local anesthesia was performed in 11.11%; recurrent rate was high 28.6%.We consider this approach only in patients who are not fit to undergo other approaches or when the expected survival is very limited. Pericardial window via thoracoscopic approach was performed in 15.8% of our patients; recurrent rate was 10% with encouraging results. During performance of pericardial window via minithoracotomy or thoracoscopically we were able to perform in (19) patients many other diagnostic and therapeutic procedures such as pleurectomy, Biopsies from the lungs, mediastinal tumors, and mediastinal lymph nodes as well. The histopathological examination of the resected pericardial window and concurrent procedures played an important diagnostic role in 23.8% of idiopathic pericardial effusions.


Artificial intelligence review:
Research summary
تهدف هذه الدراسة إلى تحليل حالات انصباب التامور غير المرتبطة بجراحة القلب التي تم إدخالها إلى قسم الجراحة في مشفيي الأسد وتشرين الجامعيين بين عامي 2007-2016. شملت الدراسة 63 حالة، منها 38 ذكور و25 إناث، تتراوح أعمارهم بين 17 و67 عامًا. كان السبب الرئيسي لانصباب التامور هو القصور الكلوي بنسبة 50.7%، يليه الأورام بنسبة 34.9%، حيث كان سرطان الرئة هو الأكثر شيوعًا بين الأورام. تم استخدام عدة إجراءات علاجية، منها النافذة التامورية بفتح الصدر الأيسر، التي كانت الأكثر تفضيلًا بنسبة نكس 4.6%، بينما كانت نسبة النكس بعد بزل التامور 80%. أظهرت الدراسة أن النافذة التامورية بفتح الصدر الأيسر أو التنظير الصدري كانت الأكثر فعالية في العلاج والتشخيص، خاصة في الحالات مجهولة السبب. توصي الدراسة باستخدام بزل التامور فقط في الحالات غير المستقرة هيموديناميكيًا أو كخطوة تحضيرية لإجراء النافذة التامورية.
Critical review
تعتبر هذه الدراسة شاملة ومفصلة في تحليلها لحالات انصباب التامور وأسبابها وطرق علاجها. ومع ذلك، يمكن أن تكون هناك بعض النقاط التي تحتاج إلى توضيح أو تحسين. على سبيل المثال، لم يتم توضيح المعايير الدقيقة لاختيار المرضى لإجراء النافذة التامورية بفتح الصدر الأيسر مقارنة بالإجراءات الأخرى. كما أن الدراسة لم تتناول بشكل كافٍ تأثير العوامل الأخرى مثل الحالة الصحية العامة للمرضى أو وجود أمراض مزمنة أخرى على نتائج العلاج. بالإضافة إلى ذلك، كان من الممكن توسيع نطاق الدراسة ليشمل عددًا أكبر من المرضى لتحسين دقة النتائج. على الرغم من هذه النقاط، فإن الدراسة تقدم مساهمة قيمة في فهم وتشخيص وعلاج انصباب التامور.
Questions related to the research
  1. ما هي الأسباب الرئيسية لانصباب التامور وفقًا للدراسة؟

    الأسباب الرئيسية لانصباب التامور هي القصور الكلوي بنسبة 50.7% والأورام بنسبة 34.9%، مع كون سرطان الرئة الأكثر شيوعًا بين الأورام.

  2. ما هو الإجراء العلاجي الأكثر تفضيلًا في الدراسة؟

    الإجراء العلاجي الأكثر تفضيلًا هو النافذة التامورية بفتح الصدر الأيسر، حيث كانت نسبة النكس 4.6%.

  3. ما هي نسبة النكس بعد إجراء بزل التامور؟

    نسبة النكس بعد إجراء بزل التامور كانت 80%.

  4. ما هي التوصيات الرئيسية للدراسة بشأن استخدام بزل التامور؟

    توصي الدراسة باستخدام بزل التامور فقط في الحالات غير المستقرة هيموديناميكيًا أو كخطوة تحضيرية لإجراء النافذة التامورية.


References used
KLEIN, AL; ABBARA, S; et al.: American Society of echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease. J Am Soc Echocadiagr, 26(9) 2013; 965-1012
MAGDI ,IBRAHIM A.M. the pericardial window: is a video–assisted thoracoscopy approach better than a surgical approach?. Interactive cardio Vascular and Thoracic Surgery, Vol.12. Issues 2, Feb 2011, 174 -178
SARAH E.LANGDON; et al. Contemporary outcomes after pericardial window surgery: impact of operative technique. J.Cardiothorac Surg. 2016, 11-73
rate research

Read More

Between May ١٩٩٨ and May ٢٠٠٢ we performed ١١٢ diagnostic thorososcopy for undiagnosed pleural effusions.The biopsy results for ٩٨ patients were investigate.
The diagnosis of pleural diseases is one of the frequent clinical problems. Despite a variety of diagnostic tests are available for evaluating pleural effusions, approximately 15– 20% of pleural effusions remains undiagnosed, In this cases ,a thora coscopy plays an important role, it permits the surgeon to visually view and evaluate the entire pleural space ,and to obtain enough accurate biopsies from suspected areas. This study aims to evaluate the effectivenes of Video Assisted Thoracoscopic surgery (VATS) in diagnosis of pleural effusions. Between June 2012 and June 2015 we performed 38diagnostic thorososcopy for undiagnosed pleural effusions. The histopathologic studies of pleural biopsies result were as follows : )%60,5 ( malignancies,)%31,6 ( TB And )%7,9 ( nonspecific inflammatory reaction. The malignant diseases are: Mesothelioma )%60,9(, Metastases of adenocarcinoma )%30,4(,Lymphoma )% 8,7( 4 Complications ,with no mortality. Conclusion: Video Assisted Thoracoscopic Surgery is a safe and accurate diagnostic procedure for pleural diseases but it also has a very useful role in therapy.(VATS) saves time, effort and cost, more over it is preferred by the patient as he recovers and returns to his normal activity rapidly.
Due to the problem of unemployment of adverse effects at all levels of social , economic and political in could threaten the stability of societies , so it was necessary to work to find solutions to this serious problem , small and medium enterpri ses was one of these solutions to meet them , and the importance of this matter dealt with the pages of this paper the concept of unemployment defined as the types and causes of it in the first section , the concept of small and medium enterprises in terms of the various definitions , characteristics and their importance and their role in reducing the worsening problem of unemployment , in the second topic of it.
Treatment of the cryptorchid testicle is justified due to the increased risk of infertility and malignancy as well as the risk of testicular trauma and torsion and psychological stigma on patients and their parents. Approximately 20% of cryptorchid testicles are nonpalpable. Many Radiological methods in addition to surgical exploration have been used to localize the non-palpable testis. In these cases, the laparoscopic technique is a usefull method for diagnosis and treatment.
Tuberculosis is still a worldwide disease. Medical treatment is essential but surgery still has a role in the diagnosis and treatment of several various thoracic tuberculous lesions (both pulmonary and extra-pulmonary). We aim to present and analy zethe results of surgical treatment of thoracic tuberculous cases in Al-Assad University Hospital in Damascus. Also, we purpose to determine the indications of thoracoscopic and traditional surgical interventions in this field, and studying their complications.

suggested questions

comments
Fetching comments Fetching comments
Sign in to be able to follow your search criteria
mircosoft-partner

هل ترغب بارسال اشعارات عن اخر التحديثات في شمرا-اكاديميا