Pneumomediastinum surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Pneumomediastinum is considered a benign condition and does not require surgical intervention in uncomplicated cases. Surgical treatment varies from minor skin incision or chest tube drainage to major VATS(Video-assisted thoracoscopic surgery) or thoracotomy depending on the amount and location of air present in the mediastinum. | Pneumomediastinum is considered a benign condition and does not require surgical intervention in uncomplicated cases. Surgical treatment varies from minor skin incision or [[Chest tube|chest tube drainage]] to major VATS (Video-assisted thoracoscopic surgery) or [[thoracotomy]] depending on the amount and location of air present in the [[mediastinum]]. | ||
==Surgery== | ==Surgery== | ||
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*In case of malignant pneumomediastinum<ref name="pmid17420139">{{cite journal |vauthors=Macia I, Moya J, Ramos R, Morera R, Escobar I, Saumench J, Perna V, Rivas F |title=Spontaneous pneumomediastinum: 41 cases |journal=Eur J Cardiothorac Surg |volume=31 |issue=6 |pages=1110–4 |date=June 2007 |pmid=17420139 |doi=10.1016/j.ejcts.2007.03.008 |url=}}</ref><ref name="pmid19748792">{{cite journal |vauthors=Perna V, Vilà E, Guelbenzu JJ, Amat I |title=Pneumomediastinum: is this really a benign entity? When it can be considered as spontaneous? Our experience in 47 adult patients |journal=Eur J Cardiothorac Surg |volume=37 |issue=3 |pages=573–5 |date=March 2010 |pmid=19748792 |doi=10.1016/j.ejcts.2009.08.002 |url=}}</ref>: | *In case of malignant pneumomediastinum<ref name="pmid17420139">{{cite journal |vauthors=Macia I, Moya J, Ramos R, Morera R, Escobar I, Saumench J, Perna V, Rivas F |title=Spontaneous pneumomediastinum: 41 cases |journal=Eur J Cardiothorac Surg |volume=31 |issue=6 |pages=1110–4 |date=June 2007 |pmid=17420139 |doi=10.1016/j.ejcts.2007.03.008 |url=}}</ref><ref name="pmid19748792">{{cite journal |vauthors=Perna V, Vilà E, Guelbenzu JJ, Amat I |title=Pneumomediastinum: is this really a benign entity? When it can be considered as spontaneous? Our experience in 47 adult patients |journal=Eur J Cardiothorac Surg |volume=37 |issue=3 |pages=573–5 |date=March 2010 |pmid=19748792 |doi=10.1016/j.ejcts.2009.08.002 |url=}}</ref>: | ||
**VATS(Video-assisted thoracoscopic surgery) | **VATS(Video-assisted thoracoscopic surgery) | ||
**Subxiphoid incision | **[[Xiphoid process|Subxiphoid incision]] | ||
** | **[[Thoracotomy]] | ||
*In case of subcutaneous emphysema: Skin incision | *In case of [[Subcutaneous emphysema surgery|subcutaneous emphysema]]: Skin incision | ||
* | *[[Pneumothorax surgery|Pneumothorax:]] Chest tube drainage | ||
==References== | ==References== | ||
Revision as of 18:49, 14 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Trusha Tank, M.D.[2]
Overview
Pneumomediastinum is considered a benign condition and does not require surgical intervention in uncomplicated cases. Surgical treatment varies from minor skin incision or chest tube drainage to major VATS (Video-assisted thoracoscopic surgery) or thoracotomy depending on the amount and location of air present in the mediastinum.
Surgery
- Pneumomediastinum is considered a benign condition and does not require surgical intervention in uncomplicated cases.
- In case of malignant pneumomediastinum[1][2]:
- VATS(Video-assisted thoracoscopic surgery)
- Subxiphoid incision
- Thoracotomy
- In case of subcutaneous emphysema: Skin incision
- Pneumothorax: Chest tube drainage
References
- ↑ Macia I, Moya J, Ramos R, Morera R, Escobar I, Saumench J, Perna V, Rivas F (June 2007). "Spontaneous pneumomediastinum: 41 cases". Eur J Cardiothorac Surg. 31 (6): 1110–4. doi:10.1016/j.ejcts.2007.03.008. PMID 17420139.
- ↑ Perna V, Vilà E, Guelbenzu JJ, Amat I (March 2010). "Pneumomediastinum: is this really a benign entity? When it can be considered as spontaneous? Our experience in 47 adult patients". Eur J Cardiothorac Surg. 37 (3): 573–5. doi:10.1016/j.ejcts.2009.08.002. PMID 19748792.