I do a, a parietal pleurectomy fairly aggressively, and it's a, it's really, really easy. You just get into that, that space underneath the parietal pleura and just have fun stripping it off, and I think it's a far more effective way to, to seal that pleural cavity. Than than rubbing it with what effectively is sandpaper.
I'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch.
I'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch.
It's once you get started, it's hard to stop. Uh, it's strips away, and yeah, it's painful, but, um, you know, with modern analgesics, uh, you know, it's, it's it seems to be manageable.
Jeff Blair (spk_3) speculates that in the next decade, mechanical devices may be used to grab and seal the lower esophageal pouch via the upper pouch, possibly with thoracoscopic or imaging facilitation.
Jeff Blair (spk_3) speculates that in the next decade, mechanical devices may be used to grab and seal the lower esophageal pouch via the upper pouch, possibly with thoracoscopic or imaging facilitation.
Thoracoscopic Repair of Tracheo-esophageal Fistula Tricks: Pediatric Surgery...
▶Ep 3 · 15:06
quoteI'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch.↗
▶Ep 3 · 15:06
opinionJeff Blair (spk_3) speculates that in the next decade, mechanical devices may be used to grab and seal the lower esophageal pouch via the upper pouch, possibly with thoracoscopic or imaging facilitation.↗
quoteI do a, a parietal pleurectomy fairly aggressively, and it's a, it's really, really easy. You just get into that, that space underneath the parietal pleura and just have fun stripping it off, and I think it's a far more effective way to, to seal that pleural cavity. Than than rubbing it with what effectively is sandpaper.↗
▶Ep 2 · 11:28
quoteI've seen some recurrences after mechanical pleurodesis, and, uh, knock on wood, I haven't had any recurrences after a pleurectomy↗
▶Ep 2 · 11:28
opinionParietal pleurectomy is fairly easy—you get into the space underneath the parietal pleura and strip it off—and is a far more effective way to seal the pleural cavity than mechanical pleurodesis.↗
▶Ep 2 · 11:28
clinicalThere have been recurrences after mechanical pleurodesis, but no recurrences after pleurectomy in the speaker's experience.↗
▶Ep 2 · 14:34
clinicalPleurectomy is incredibly painful postoperatively.↗
▶Ep 2 · 14:34
quoteI, I used to do pleurectomies as well, and I found that it was incredibly painful. Um, so, I stopped doing it.↗
▶Ep 2 · 16:29
quoteIt's once you get started, it's hard to stop. Uh, it's strips away, and yeah, it's painful, but, um, you know, with modern analgesics, uh, you know, it's, it's it seems to be manageable.↗
▶Ep 2 · 16:29
clinicalOnce you start pleurectomy, it's hard to stop because it strips away easily, and with modern analgesics the pain is manageable.↗
Thoracoscopic Repair of Tracheo-esophageal Fistula Tricks: Pediatric Surgery...
▶Ep 2 · 15:06
opinionJeff Blair (spk_3) speculates that in the next decade, mechanical devices may be used to grab and seal the lower esophageal pouch via the upper pouch, possibly with thoracoscopic or imaging facilitation.↗
▶Ep 2 · 15:06
quoteI'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch.↗