PURPOSE Conjunctival erosion in glaucoma drainage device surgery can be prevented by the use of patch grafts to cover the extraocular portion of the tube. Several materials can be used, among them human preserved fascia lata. METHODS The authors present a case of a failed Ahmed glaucoma valve due to encapsulation of the bleb, in which the fascia lata patch placed to cover the tube was removed...

BACKGROUND Thoracostomy tube insertion is one of the common bedside procedures in emergency medicine and many acute specialties. Dislodgement of thoracostomy tube from the connection tube of chest drainage system is an important problem with potential complications such as contamination, infection and pneumothorax. Besides, mere loosening can also lead to malfunction. It is a common practice to...

BACKGROUND Despite importance of chest tube insertion in chest trauma, there is no general agreement on the level of daily volume drainage from chest tube. This study was conducted to compare the effectiveness and safety of chest tube removal at the levels of 150 ml/day and 200 ml/day. METHODS Eligible patients (138) who needed replacement of chest tube (because of trauma or malignancy) were ...

The accurate identification and preservation of critical intercostal arteries are important technical issues during thoracic endovascular aortic repair (TEVAR) to reduce the risk of postoperative paraparesis, especially in a setting of extensive thoracic aortic coverage and previous abdominal aortic surgery. The localization of intercostal arteries by digital subtraction angiography (DSA) befor...

Recently, petrous apex cholesterol granulomas (CGs) have been treated via the endoscopic endonasal transsphenoidal approach (EEA) using a silicone tube, to prevent drainage route occlusion. Occlusion of the drainage route has led to problems with recurrence. The aim of this report is to describe the use of a surgical technique to prevent drainage route occlusion. In surgical technique, the post...

adjusted antibiotic treatment, when possible, and surgical drainage are crucial. Drainage is required to evacuate the accumulated pus and to sterilize and close the pleural cavity, thus allowing good pulmonary mobility. Different procedures may be employed, such as closed drainage systems by tube thoracostomy, or partial costectomy, or open systems, such as open thoracostomy with the creation o...

Biliopleural fistula (BF) and formation of biliopleural effusion is a rare complication following percutaneous transhepatic biliary drainage (PTBD). It occurs when the pleura is traversed by the catheter before entering the bile duct. Biliopleural fistula should be suspected when right side pleural effusion develops following the PTBD procedure. The diagnosis of biliopleural fistula is made whe...