Recommendations for Overcoming Difficulties in Video Assisted Thoracoscopic Pericardial Fenestration
Purpose: Pericardial fenestration is used to treat recurrent pericardial effusion. This study aimed to assess the issues and solutions in pericardio-pleural fenestration (PPF) applications using video-assisted thoracoscopic surgery (VATS), which is more prominent today. Materials and Methods: Bet...
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| Format: | Article |
| Language: | English |
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Kirsehir Ahi Evran University
2022-08-01
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| Series: | Ahi Evran Medical Journal |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/2001205 |
| _version_ | 1828016897614938112 |
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| author | Selçuk GÜRZ Serkan Burç DEŞER Necmiye Gül TEMEL |
| author_facet | Selçuk GÜRZ Serkan Burç DEŞER Necmiye Gül TEMEL |
| author_sort | Selçuk GÜRZ |
| collection | DOAJ |
| description | Purpose: Pericardial fenestration is used to treat recurrent pericardial effusion. This study aimed to assess the issues and solutions in pericardio-pleural fenestration (PPF) applications using video-assisted thoracoscopic surgery (VATS), which is more prominent today.
Materials and Methods: Between July 2018 and December 2020, a total of 8 patients (3 males, 5 females; median age: 51.8 years, range: 23–65 years), who underwent VATS PPF in the Ondokuz Mayıs University Faculty of Medicine, were retrospectively evaluated using the hospital database and the findings were compared with the results reported in previous literature.
Results: The amount of pericardial fluid drained and the measurement of fluid next to the inferior wall on echocardiography had a statistically significant positive and high correlation (p=.032). Shorter surgical time was correlated with the right lateral 45° position and single port interventions (p=.020). The average time to remove the chest tube was 3.1 days (min: 2.0-max: 7.0), and the average time to discharge was 6.1 days (min: 3.0-max: 10.0).
Conclusion: VATS PPF conducted through the 4th intercostal space with a single port in the right lateral 45° position is a procedure that can be safely used in patients with recurrent pericardial effusion, despite the type of therapy. |
| first_indexed | 2024-04-10T10:41:30Z |
| format | Article |
| id | doaj.art-ca65f6a5d7b94284af98f07b3fd3f106 |
| institution | Directory Open Access Journal |
| issn | 2619-9203 |
| language | English |
| last_indexed | 2024-04-10T10:41:30Z |
| publishDate | 2022-08-01 |
| publisher | Kirsehir Ahi Evran University |
| record_format | Article |
| series | Ahi Evran Medical Journal |
| spelling | doaj.art-ca65f6a5d7b94284af98f07b3fd3f1062023-02-15T16:20:34ZengKirsehir Ahi Evran UniversityAhi Evran Medical Journal2619-92032022-08-016219720210.46332/aemj.1002463Recommendations for Overcoming Difficulties in Video Assisted Thoracoscopic Pericardial FenestrationSelçuk GÜRZ0https://orcid.org/0000-0003-4584-4840Serkan Burç DEŞER1https://orcid.org/0000-0001-9490-928XNecmiye Gül TEMEL 2https://orcid.org/0000-0001-5188-8036ONDOKUZ MAYIS ÜNİVERSİTESİ, TIP FAKÜLTESİONDOKUZ MAYIS ÜNİVERSİTESİ, TIP FAKÜLTESİONDOKUZ MAYIS ÜNİVERSİTESİ, TIP FAKÜLTESİPurpose: Pericardial fenestration is used to treat recurrent pericardial effusion. This study aimed to assess the issues and solutions in pericardio-pleural fenestration (PPF) applications using video-assisted thoracoscopic surgery (VATS), which is more prominent today. Materials and Methods: Between July 2018 and December 2020, a total of 8 patients (3 males, 5 females; median age: 51.8 years, range: 23–65 years), who underwent VATS PPF in the Ondokuz Mayıs University Faculty of Medicine, were retrospectively evaluated using the hospital database and the findings were compared with the results reported in previous literature. Results: The amount of pericardial fluid drained and the measurement of fluid next to the inferior wall on echocardiography had a statistically significant positive and high correlation (p=.032). Shorter surgical time was correlated with the right lateral 45° position and single port interventions (p=.020). The average time to remove the chest tube was 3.1 days (min: 2.0-max: 7.0), and the average time to discharge was 6.1 days (min: 3.0-max: 10.0). Conclusion: VATS PPF conducted through the 4th intercostal space with a single port in the right lateral 45° position is a procedure that can be safely used in patients with recurrent pericardial effusion, despite the type of therapy. https://dergipark.org.tr/tr/download/article-file/2001205pericardial effusionpericardial fenestrationvats |
| spellingShingle | Selçuk GÜRZ Serkan Burç DEŞER Necmiye Gül TEMEL Recommendations for Overcoming Difficulties in Video Assisted Thoracoscopic Pericardial Fenestration Ahi Evran Medical Journal pericardial effusion pericardial fenestration vats |
| title | Recommendations for Overcoming Difficulties in Video Assisted Thoracoscopic Pericardial Fenestration |
| title_full | Recommendations for Overcoming Difficulties in Video Assisted Thoracoscopic Pericardial Fenestration |
| title_fullStr | Recommendations for Overcoming Difficulties in Video Assisted Thoracoscopic Pericardial Fenestration |
| title_full_unstemmed | Recommendations for Overcoming Difficulties in Video Assisted Thoracoscopic Pericardial Fenestration |
| title_short | Recommendations for Overcoming Difficulties in Video Assisted Thoracoscopic Pericardial Fenestration |
| title_sort | recommendations for overcoming difficulties in video assisted thoracoscopic pericardial fenestration |
| topic | pericardial effusion pericardial fenestration vats |
| url | https://dergipark.org.tr/tr/download/article-file/2001205 |
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