Two hundred and fifty one cases of penetrating wounds of the chest were studied prospectively. Clinical evidence is presented to show that: basal intercostal drains are adequate to remove both air and fluid from within the pleural cavity; frequent chest radiographs are unnecessary and intercostal drains may be removed on clinical grounds alone; long term antibiotic prophylaxis is unnecessary; e...

Dear Editor, The use of fibrin sealant for parotid surgery without drains has been described as having cost saving benefits and obviating drain-related morbidities.1 It is known that the use of fibrin sealant in parotid surgery decreases drain output significantly, therefore allowing parotidectomies to be done with fibrin sealants but without drains.2,3 Until now, there has been no randomised c...

Pancreaticocutaneous fistulas (PCFs) may be refractory to medical therapy or endoscopic retrograde cholangopancreaticography. Four patients underwent endoscopic ultrasound-guided management of refractory PCFs, which were internalized by endoscopic ultrasound-guided transmural puncture of the pancreatic duct (n = 2), fistula tract (n = 1), or both (n = 1), with placement of transmural stents pro...

One of the most important factors for appropriate performance of subsurface drainage systems is having adequate discharge for drains. For this purpose, knowledge about effect of drainage parameters change on drain discharge is essential in subsurface drainage systems. In this article, using change all of the drainage parameters by EnDrain software, changes of drains discharge has been investiga...

Tracheobronchial foreign body (TFB) aspiration is rare in adults, although incidence rates increases with advancing age. We report a case of foreign body in left main bronchus in an adult female who had no risk factor. She was successfully treated with removal of betel nuts by bronchoscopy. Unusual presentation and high index of suspicion can help in proper management.

Mukoepidermoid karsinom nadir olarak trakeobronşiyal ağaçta yerleşen malign bir tümördür. Mukoepidermoid karsinomlar düşük evreli tümörler olmalarına rağmen, cerrahi olarak çıkarılmaları gerekir. Yirmi yaşında erkek hastada ateş, öksürük ve nefes darlığı yakınmalarına yol açan ve fiberoptik bronkoskopide sol ana bronşu daraltan kitle lezyonu saptandı. Akciğer özek dokusunu korumak için medyan s...

This analysis of thirteen cases of lower airway foreign body aspiration in children reveals a high incidence of aspiration into the left main bronchus, and an increased incidence in older children. Early indentification of nonradio opaque foreign bodies such as food and plastic toys is difficult in the absence of a positive history. Suggestions are offered for prevention, early detection, and t...

Bronchomalacia in adults is rare. A case is reported here of a 65-year-old man with severe cough and mucostasis, caused by a benign bronchomalacia of the ventral wall of the left main bronchus. This was treated successfully with the insertion of a silicone Dumon stent as an alternative to surgical bronchoplasty.

Two patients with an intraluminal carcinoid tumour obstructing the right main bronchus in one, and the left main bronchus in the other, resulting in unilateral increased transradiancy from hypoperfusion of the lung, are described. Resection of the tumours and reconstruction of bronchial continuity was followed by return of perfusion to normal between three and 18 months after the operation. The...

Foreign bodies [FB] in the bronchus are important causes of morbidity and mortality in paediatric age group and pose diagnostic and therapeutic challenges. Inert and smooth foreign bodies are prone for migration from one side to other due to minimal inflammatory process and easy mobility. Herein we are reporting a case of electric bulb aspiration which migrated from right main bronchus to left ...