{"title":"Evaluation of the change in pain, dyspnea perception, and pulmonary function values with pain tape application in patients undergoing thoracotomy","authors":"Semaye Türk, H. Çelik, B. Çelik, Z. Akça","doi":"10.26663/cts.2022.003","DOIUrl":"https://doi.org/10.26663/cts.2022.003","url":null,"abstract":"Background: We aimed to evaluate the changes in pain, dyspnea perception and respiratory functions by applying pain tape in the postoperative period in patients who underwent thoracotomy. Materials and Methods: 55 patients were included in the prospective, randomized study with local ethics committee approval. The patients were divided into two groups, and on the postoperative 1st day, pain tape was applied to group I patient and placebo tape similar to pain tape was applied to group II patient. Visual Analogue Scale (VAS) was used for pain assessment, Modified Borg Scale (MBS) for dyspnea assessment, pulmonary function test and six-minute walking test (6 MWT) were used to evaluate pulmonary functions in the preoperative and postoperative periods. Results: There were 29 patients in group I and 26 patients in group II, with mean age of 59.2 ± 10.4 (18-75) years. According to the statistical analysis, no difference was found between the groups in terms of age, gender, height, weight, BMI, 6 MWT, MBS, FEV1, FVC, FEV1/FVC values (p > 0.05). There was a difference between the groups in terms of VAS values measured on the 3rd postoperative day (4.65 ± 1.79 vs. 6.57 ± 1.74; p > 0.001). In addition, the postoperative complication rate was different in group I compared to group II (17.2% vs. 30.7%; p = 0.003). Conclusion: Pain tape application is a reliable and simple method for pain control in the postoperative period in patients undergoing thoracotomy. It can be applied to patients for pain control in the early period, and in this way, the development of postoperative complications can be prevented.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"182 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75715152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What covid-19 brings with: incidental solitary pulmonary nodules","authors":"M. Çetin, Hasan Tartar","doi":"10.26663/cts.2022.004","DOIUrl":"https://doi.org/10.26663/cts.2022.004","url":null,"abstract":"Background: Thoracic computed tomography (CT) scans for preliminary diagnosis of COVID-19 can be used as a tool to detect solitary pulmonary nodules (SPNs). Materials and Methods: We retrospectively evaluated the thoracic CT reports of 5416 patients, aged 45-75, who presented to our hospital with a preliminary diagnosis of COVID-19 in 2020. Results: Pulmonary nodules/masses were detected in 85 patients. 56 of these were male, and 29 female. 63 patients (74%) had SPNs, 11 (13%) masses, and 11 (13%) multiple nodules. 5 patients were in follow-up for malignancy, and 21 (21%) arrived for follow-up after the detection of nodule/mass. 11 patients died due to pulmonary pathologies. Conclusions: COVID-19-related concerns have seriously disrupted the follow-up of pulmonary nodules. However, the widespread use of CT serves as a kind of lung cancer screening.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77074259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ö. Kavurmacı, Sercan Aydın, Barış Gülmez, S. Kahraman, T. Akçam, Ali Özdil, A. Ergönül, O. Akçay, B. Yoldaş, A. Türker, E. Zorlu, A. Karakılıç
{"title":"We need a common definition and treatment algorithm for displaced rib fracture","authors":"Ö. Kavurmacı, Sercan Aydın, Barış Gülmez, S. Kahraman, T. Akçam, Ali Özdil, A. Ergönül, O. Akçay, B. Yoldaş, A. Türker, E. Zorlu, A. Karakılıç","doi":"10.26663/cts.2022.012","DOIUrl":"https://doi.org/10.26663/cts.2022.012","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72524203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Baig, J. Weber, Zaid Muslim, Al Haitham Al Shetawi, F. Bhora
{"title":"State of the art and operative technique for spray cryotherapy for central airway obstruction (CAO)—a narrative review","authors":"M. Baig, J. Weber, Zaid Muslim, Al Haitham Al Shetawi, F. Bhora","doi":"10.21037/ccts-21-12","DOIUrl":"https://doi.org/10.21037/ccts-21-12","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49066937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Atelectasis in one lung ventilation: the good, the bad, and the ugly: a narrative review","authors":"J. Bussières, Edouard Marques","doi":"10.21037/ccts-21-26","DOIUrl":"https://doi.org/10.21037/ccts-21-26","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49229143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ECMO in lung transplant: pre, intra and post-operative utilization—a narrative review","authors":"Jose P. Garcia, Cristina L. Ashworth, C. Hage","doi":"10.21037/ccts-21-29","DOIUrl":"https://doi.org/10.21037/ccts-21-29","url":null,"abstract":"","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42256636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of video-thoracoscopic sympathectomy in buerger and raynaud","authors":"Uğur Temel","doi":"10.26663/cts.2022.005","DOIUrl":"https://doi.org/10.26663/cts.2022.005","url":null,"abstract":"Background: Buerger and Raynaud diseases are peripheral circulatory disorders that cause ulcers at fingers and affect the quality of life. The aim of this study is to detect the role of sympathectomy via video-assisted thoracoscopic surgery (VATS) in Buerger and Raynaud for an effective treatment. Materials and Methods: Study was designed retrospectively on prospective data. Sympathectomy via VATS, was applied to 45 patients who were diagnosed as Buerger or Raynaud disease in a 6-years period. Patients were followed with 6 months intervals. Age, gender, initial symptoms, smoking habit, quality of life with the operation type, duration and hospital stay were recorded. After surgery all datas related to the patient were also noted at follow-up period. Results: Ten of 45 patients were in Buerger disease group and 35 in Raynaud. After VATS, existing finger ulcers were regressed 100% and regression in symptoms was more than 70% for both diseases. For overall, progression in life quality was noted as more than 95% of patients. Median hospital-stay was 2 days. There was no mortality and serious complication. Pneumothorax was the most common complication. Conclusions: In order to increase the life quality of the patients and prevent the tissue loss, sympathectomy seems the only satisfactory surgical method of treatment for Buerger and Raynaud diseases especially for the circularity disorders of upper extremities.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84406987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Z. Tekin, Z. Bilgi, O. Akçay, F. Cansun, E. Kasapoğlu
{"title":"Elastofibroma dorsi prevalance in patients with primary complaint of dorsalgia","authors":"Z. Tekin, Z. Bilgi, O. Akçay, F. Cansun, E. Kasapoğlu","doi":"10.26663/cts.2022.013","DOIUrl":"https://doi.org/10.26663/cts.2022.013","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87943773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Aker, C. Sezen, M. Doğru, Nisa Yildiz, V. Erdoğu, L. Cansever, M. Metin, M. Bedirhan
{"title":"Factors affecting survival after resection of stage iib non-small cell lung cancer","authors":"C. Aker, C. Sezen, M. Doğru, Nisa Yildiz, V. Erdoğu, L. Cansever, M. Metin, M. Bedirhan","doi":"10.26663/cts.2022.006","DOIUrl":"https://doi.org/10.26663/cts.2022.006","url":null,"abstract":"Background: Our aim in this study was to evaluate prognostic factors affecting survival and disease-free survival (DFS) in the subgroups of stage IIB NSCLCs. Materials and Methods: Patients with stage IIB NSCLC who underwent surgery in our hospital between January 2006 and December 2015 were included in the study. The patients were evaluated in two groups: T3N0 patients staged as IIB due to pN0 (Group A) and T1N1/T2N1 patients (Group B). Results: Of the 192 patients were included in the study. There were 47 patients in group A (24.5%) and 145 patients in group B (75.5%). 5-year survival rates was 58.2%. There was no statistically significant difference in survival according to T stage. The 5-year survival rates in the T1, T2, and T3 groups were 69%, 55.3%, and 54.6%, respectively (p = 0.34). The main prognostic factors affecting survival were advanced age (p = 0.02). The mean DFS was 72 months and the 5-year DFS rate was 54%. Advanced age and male sex, were identified as poor prognostic factors for DFS (p < 0.005). Conclusions: The stage IIB category remains heterogeneous despite the updated eighth edition IASCL staging system. The results of our study indicate that age was the main prognostic factors affecting survival in stage IIB NSCLC. However, the effect of visceral pleural invasion and lymph node involvement on survival in stage IIB subgroups was not detected, more comprehensive multicenter studies are still needed.","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77844485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Denizhan Kılınç, M. Inan, Ersin Sapmaz, H. Işık, S. Gürkök
{"title":"Surgical treatment of an intrathoracic rib causing cough in a young woman","authors":"Denizhan Kılınç, M. Inan, Ersin Sapmaz, H. Işık, S. Gürkök","doi":"10.26663/cts.2022.018","DOIUrl":"https://doi.org/10.26663/cts.2022.018","url":null,"abstract":"<jats:p xml:lang=\"tr\" />","PeriodicalId":72729,"journal":{"name":"Current challenges in thoracic surgery","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83348091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}