[Pathogenesis and surgical treatment of bullous emphysema].
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Biomedical subjects
Publications and source records attributed to L Birta.
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The authors present statistic of 307 patients with radiological rounds solitares pulmonary shadows that had underwent surgery and make an analysis of diagnostic and therapeutic attitude. Diagnosis preceding surgery being incertin in 64,5% cases and because, bronchopulmonary cancers represent 20,8% of the total of patients that underwent surgery, it is that for the authors choice solution is thoracothomy with double diagnostical and therapeutical pourpouse. Their clinical results was satisfactory in 95,2%.
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The authors recommend a simple procedure, efficient in cases with thoracic flaps, called voletopexia. The thoracic flaps are severe complications of thoracic trauma, accompanied by paradoxal respiration, mediastinal pendullation, severe respiratory failure, frequently in association with subcutaneous and/or mediastinal emphysema, parietal hematomas, haemothorax or haemopneumothorax, pulmonary tissue ruptures, or ruptures of the large vessels. The method proposed consists in a fixation of the mobile flap to the intact ribs above and under it by one or two knits with double thread, in a perpendicular direction with regard to the ribs. The authors experience is based on 11 cases that have been satisfactorily solved. The procedure is recommended for generalization.