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http://dx.doi.org/10.1053/j.jvca.2017.10.038 | DOI Listing |
Cureus
June 2025
Department of General Thoracic Surgery, NHO Kinki Chuo Chest Medical Center, Osaka, JPN.
Negative pressure wound therapy (NPWT) after open window thoracostomy effectively reduces empyema cavity volume, but fistula control remains challenging in cases of bronchopleural/alveolopleural fistula. We report the successful treatment of chronic tuberculous empyema with bronchopleural and/or alveolopleural fistulas through primary closure during thoracostomy, combined with simultaneous NPWT. A woman in her 90s, with a history of left upper lobectomy (60 years prior), developed chronic tuberculous empyema with a cutaneous fistula.
View Article and Find Full Text PDFJA Clin Rep
July 2025
Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1 West 16 Chuo-ku, 060-8543, Sapporo, Japan.
Background: These case reports focus on successful pain management with ultrasound-guided serratus posterior superior muscle (SPSM) block using 30 mL of 0.25% ropivacaine or physiological saline in three myofascial pain syndrome (MPS) patients presented with cervicoscapular pain.
Case Presentation: The SPSM block was administered to three ambulatory patients (cases #1, #2, and #3) who presented with cervicoscapular pain.
A A Pract
July 2025
From the Department of Anesthesiology and Intensive Care, Ankara Etlik City Hospital, Ankara, Turkey.
In this case report, successful perioperative management was achieved using a combination of regional anesthesia techniques in a patient with a free flap on the neck and anticipated difficult intubation scheduled for open shoulder surgery. Supraclavicular brachial plexus (SCBPB), suprascapular nerve (SSB), axillary nerve (ANB), and serratus posterior superior intercostal plane block (SPSIPB) were performed. This case demonstrates that fascial plane blocks may be integrated into regional anesthesia strategies to enhance dermatomal coverage in shoulder surgeries with complex innervation.
View Article and Find Full Text PDFOral Maxillofac Surg
June 2025
Division of Head and Neck Cancer and Microsurgery , P. Hertsen Moscow Oncology Research Institute is a branch of the National Medical Research Center for Radiology of the Russian Ministry of Health, 2-nd Botkinsky 3, Moscow, Russia.
Background: This study aimed to report the functional outcomes of patients who underwent total or near total glossectomy for oral SCC reconstructed with a chimeric latissimus dorsi and serratus anterior (LD + SA) flap.
Methods: Thirty-two patients with tongue cancer, with a mean age of 48.8 years, were included in the study.
Drug Des Devel Ther
May 2025
Department of Anesthesiology, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang Province, 310016, People's Republic of China.
Background: Postoperative pain management is essential after video-assisted thoracoscopic surgery (VATS). The rhomboid intercostal and sub-serratus (RISS) block is effective in providing analgesia. This study aims to determine the minimum effective concentration (MEC) of ropivacaine for ultrasound-guided RISS block in patients undergoing VATS, thereby optimizing the analgesia protocol and enhancing its clinical significance.
View Article and Find Full Text PDF