Document Detail


Anterior mediastinotomy--a diagnostic tool.
MedLine Citation:
PMID:  14510116     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a review of our experience with anterior mediastinotomy (AM) in the diagnosis and evaluation of diseases of the mediastinum and lung. Thirty consecutive patients who had AM between 1984 and 1999 were retrospectively studied. The mean age of patients was 28 +/- 6.5 years. There were 22 males to 8 females. Sixteen patients had superior vena cava (SVC) obstruction (12 patients with lung cancer, 4 with primary mediastinal tumours), 4 patients had radiological evidence of mediastinal contiguity of upper lobe tumours and 10 patients had primary mediastinal tumours. AM was 1st procedure in 10 patients and 2nd procedure in 20 patients after failed or inconclusive result from FNAB, scalene node/cervical lymph node biopsy or bronchoscopy. Eighteen right-sided and 12 left-sided AMs were performed. Satisfactory histological diagnoses were achieved in all patients. Complications were easily controlled bleeding (4 patients) and life-threatening haemorrhage in 2 patients. Three patients had delayed wound healing and 4 had inadvertent pleural entries. There was no mortality temporarily related to the procedure. We conclude that AM is valuable as a surgical technique for obtaining tissue for histological purposes in diseases of the mediastinum and the lung when tissue specimens from less invasive procedures are unsatisfactory.
Authors:
V O Adegboye; M O Obajimi; O O Ogunsehinde; I A Brimmo; O A Adebo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  African journal of medicine and medical sciences     Volume:  30     ISSN:  0309-3913     ISO Abbreviation:  Afr J Med Med Sci     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2003-09-26     Completed Date:  2003-10-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7801013     Medline TA:  Afr J Med Med Sci     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  341-4     Citation Subset:  IM    
Affiliation:
Cardiothoracic Unit, Department of Surgery, University College Hospital Ibadan, University of Ibadan, Ibadan, Nigeria. adegboyetrj@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Loss, Surgical
Female
Humans
Lung Neoplasms / diagnosis*
Male
Mediastinal Neoplasms / diagnosis*
Mediastinoscopy / adverse effects,  methods*
Pleura / injuries
Retrospective Studies
Superior Vena Cava Syndrome / diagnosis*
Surgical Wound Dehiscence / etiology
Surgical Wound Infection / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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