technical-considerations-and-approach-to-redo-foregut-surgery

Technical Considerations and Approach to Redo Foregut Surgery

Foregut surgical techniques have advanced significantly over the years and have become increasingly popular. However, new challenges and technical ...

University of Minnesota

Asthma is an incurable chronic disease affecting approximately 24 million people in the United States. The hallmark features of asthma are reversible airflow obstruction, airway hyperresponsiveness, airway inflammation, bronchoconstriction, and excessive mucus secretion. Clinical symptoms include episodic or persistent breathlessness, wheezing, cough, or chest tightness/pressure. Forty-five percent of asthmatics continue to have yearly exacerbations and the disease is responsible for approximately 3,600 annual deaths. Pharmacologic advancements have continued to grow as the individual phenotypes of asthma are better delineated but there continues to be small population of asthmatics that are less responsive to pharmacologic therapy. Bronchial thermoplasty (BT) is an innovative procedure targeted primarily at decreasing airway smooth muscle (ASM) which is considered by some to be a vestigial organ. Decreasing the ASM bulk decreases hyperresponsiveness and bronchoconstriction leading to decreased exacerbations, decreased cost on the healthcare system, and improvement in patient quality of life.

Endobronchial thermoplasty for asthma.

We describe an alternative surgical technique for the treatment of chylothorax in patients who have had failure of or are not candidates for transthoracic ligation or embolization by interventional radiology.

Laparoscopic ligation of cisterna chyli for refractory chylothorax: A case series and review of the literature.

We describe laparoscopic transdiaphragmatic (LTD) chest surgery without intercostal incisions and focus on technique and safety. The goal of LTD is to minimize postoperative pain.

Laparoscopic transdiaphragmatic chest surgery: Early experience.

Diaphragmatic hernias after explantation of a left ventricular assist device (LVAD) at the time of heart transplantation are uncommon, but they can cause morbidity. This study presents midterm to long-term results of diaphragmatic hernia repair in these patients.

Long-Term Results of Diaphragmatic Hernia Repair After Left Ventricular Assist Device Explantation.

Commentary: Winds of change? Not really…not yet!

Delayed distal esophageal reconstruction with nonsupercharged jejunum is an option when gastric conduit is not available. This study aimed to describe a single-center experience with distal esophageal reconstruction with retrosternal Roux-en-Y esophagojejunostomy (RYEJ) and compare perioperative outcomes with retrosternal gastric pull-up (GP).

Nonsupercharged Retrosternal Roux-en-Y Esophagojejunostomy for Distal Esophageal Reconstruction.

Right pneumonectomy for invasive pulmonary mucormycosis.

Delayed-presentation diaphragm hernias are uncommon, and surgical management varies widely across practices. We describe our surgical experience with delayed-presentation diaphragm hernias as a case series of 14 patients, 9 of whom underwent minimally invasive repair.

Surgical management of delayed-presentation diaphragm hernia: A single-institution experience.

Subxiphoid-subcostal thoracoscopic thymectomy (ST) is an emerging alternative to transthoracic thoracoscopic thymectomy. Potential advantages of ST are the avoidance of intercostal incisions and visualization of both phrenic nerves in their entirety. We describe our experience with ST and compare our results to our previous experience with transthoracic thoracoscopic thymectomy.

Subxiphoid-subcostal versus transthoracic thoracoscopic thymectomy: A safe and feasible approach.

Postoperative lung cancer surveillance: the highs and lows of computerized tomographic scanning.

The current status of non-intubated thoracoscopic lobectomy.

American Indian/Alaska Native (AI/AN) breast cancer patients undergo post-mastectomy reconstruction (PMR) infrequently relative to Non-Hispanic White (NHW) patients. Factors associated with low PMR rates among AI/AN are poorly understood. We sought to describe factors associated with this disparity in surgical care.

Article	Year
Endobronchial thermoplasty for asthma. Journal of visualized surgery\| PubMed ID: 29078687	2017
Laparoscopic ligation of cisterna chyli for refractory chylothorax: A case series and review of the literature. The Journal of thoracic and cardiovascular surgery\| PubMed ID: 29129424	2018
Laparoscopic transdiaphragmatic chest surgery: Early experience. The Journal of thoracic and cardiovascular surgery\| PubMed ID: 29249491	2018
Long-Term Results of Diaphragmatic Hernia Repair After Left Ventricular Assist Device Explantation. The Annals of thoracic surgery\| PubMed ID: 33186603	2021
Commentary: Winds of change? Not really…not yet! The Journal of thoracic and cardiovascular surgery\| PubMed ID: 33485664	2021
Nonsupercharged Retrosternal Roux-en-Y Esophagojejunostomy for Distal Esophageal Reconstruction. The Annals of thoracic surgery\| PubMed ID: 34624265	2022
Right pneumonectomy for invasive pulmonary mucormycosis. JTCVS techniques\| PubMed ID: 35169748	2022
Surgical management of delayed-presentation diaphragm hernia: A single-institution experience. JTCVS techniques\| PubMed ID: 35711179	2022
Subxiphoid-subcostal versus transthoracic thoracoscopic thymectomy: A safe and feasible approach. JTCVS techniques\| PubMed ID: 36510515	2022
Postoperative lung cancer surveillance: the highs and lows of computerized tomographic scanning. European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery\| PubMed ID: 36592038	2022
The current status of non-intubated thoracoscopic lobectomy. Journal of thoracic disease\| PubMed ID: 37197483	2023
Disparities in post-mastectomy reconstruction use among American Indian and Alaska Native women. Plastic and reconstructive surgery\| PubMed ID: 37467081	2023

Madhuri Rao

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