Abstract
Chylothorax can occur after direct injury to the thoracic duct, blunt thoracic trauma, or surgery to the thorax. A spontaneously occurring chylothorax requires a thorough etiological explanation and treatment of the underlying condition. The goals of conservative treatment are to seal the injury site in the thoracic duct and restore normal chylus flow. The crucial issue is determining the duration of conservative treatment. Symptomatic treatment with pleural puncture is recommended, provided the duration is not prolonged. Surgical treatment involves the placement of a ligature at the site of injury in the thoracic duct, which is successful.
Keywords
References
- 1 — Bartoš, V., Brzer, V.: Die Bedeutung der Drainage des Ductus thoracicus in der klinischen Medizin. Der Chirurg, 44 : 110, 1973.
- 2 — Dressler, S., Wiener, D., Thompson, S. A.: Traumatic chylothorax following esophageal resection. J. Thorac. Surg., 26 : 321, 1953.
- 3 — Brückle, H.: Traumatische Zerreissung des Ductus thoracicus mit Chylothorax Operative Heilung durch Unterbindung des Milchburstganges. Wien. Klein. Wschr., 763, 1953.
- 4 — Grewe, H. E.: Der Chylothorax. Chir. Praxis, 1 : 103, 1966.
- 5 — Helm, W., Zuschneid, K.: Zurtechnik der Ductus thoracicus ligatur. Ein Beitrag zur Operativen Behandlung des Chylothorax. Chirurg., 23 : 482, 1962.
- 6 — Lange, R.: Chylothorax als Komplikation nach Pneumolise. Tuberkulosearzt, 7 : 181, 1953.
- 7 — Derra, E.: Handbuch der thoraxchirurgie. Springer Verlag Berlin. Göttingen Heidelberg, 1 : 1081, 1956.
- 8 — Levasseur, P., Miranda, A. R., Vanderpotten, C. I., Lazard, F., Barbier, L., Le Brigand, H., Merlier, M.: Trois cas de pneumothorax chyleux traumatique du canal thoracique. Chirurgie, 98 : 397, 1972.
- 9 — Bessone, L. N., Ferguson, T. D. and Burford, T. H.: Chylothorax. Ann. Surg., 132 : 567, 1971.
- 10 — Khalil, K. G., Parker, F. B. Jr., Mukherjee, N. and Webb, W. R.: Thoracic duct injury. J.A.M.A., 221 : 908, 1972.
- 11 — Ikard, R. W.: Iatrogenic Chylous Ascites, The Amer. Surg., 28 : 436, 1972.
- 12 — Goodwitch, J.: Traumatic chylothorax and thoracic duct ligation. J. Thorac. Surg., 29 : 467, 1955.
- 13 — Gotmann, M. B.: Chylothorax after closure of a patent ductus arteriosus. Thorax, 21 : 129, 1966.
- 14 — Jeske, V.: Chylothorax in infancy. Thorax, 23 : 214, 1968.
- 15 — Tandon, R. K.: Chylothorax after repair of ventricular septal defect. J. Thorac. Cardiovasc. Surg., 56 : 578, 1968.
- 16 — Richelme, H., Bourgouin, A.: Un observation de plaie par arme blanche du canal thoracique. Chirurgie, 99 : 143, 1973.
Abstract
Chylothorax, ductus thoracicusun direkt yaralanması, künt thorax travmasından veya thoraksta yapılan bir operasyondan sonra meydana çıkabilir.Spontan olarak meydana gelen bir chylothorax tam bir etyo- lojik izahla beraber esas hastalığın tedavisini icap ettirir. Konser- vatif tedavinin gayes” ductus thoracicus'taki yaralanma yerinin yapışarak kapanması ve normal chylus akımının teminidir. Mühim olan problem konservatif tedavinin süresinin tayinidir. Plevra ponksiyonu ile yapılan symptomatik bir tedavi süresi uzun olmamak şartı ile tavsiyeye şayandır.Cerrahi tedavi yöntemi olarak ductus thoracicusun yaralanma yerine ligatür konması başarı sağlamaktadır.
Keywords
References
- 1 — Bartoš, V., Brzer, V.: Die Bedeutung der Drainage des Ductus thoracicus in der klinischen Medizin. Der Chirurg, 44 : 110, 1973.
- 2 — Dressler, S., Wiener, D., Thompson, S. A.: Traumatic chylothorax following esophageal resection. J. Thorac. Surg., 26 : 321, 1953.
- 3 — Brückle, H.: Traumatische Zerreissung des Ductus thoracicus mit Chylothorax Operative Heilung durch Unterbindung des Milchburstganges. Wien. Klein. Wschr., 763, 1953.
- 4 — Grewe, H. E.: Der Chylothorax. Chir. Praxis, 1 : 103, 1966.
- 5 — Helm, W., Zuschneid, K.: Zurtechnik der Ductus thoracicus ligatur. Ein Beitrag zur Operativen Behandlung des Chylothorax. Chirurg., 23 : 482, 1962.
- 6 — Lange, R.: Chylothorax als Komplikation nach Pneumolise. Tuberkulosearzt, 7 : 181, 1953.
- 7 — Derra, E.: Handbuch der thoraxchirurgie. Springer Verlag Berlin. Göttingen Heidelberg, 1 : 1081, 1956.
- 8 — Levasseur, P., Miranda, A. R., Vanderpotten, C. I., Lazard, F., Barbier, L., Le Brigand, H., Merlier, M.: Trois cas de pneumothorax chyleux traumatique du canal thoracique. Chirurgie, 98 : 397, 1972.
- 9 — Bessone, L. N., Ferguson, T. D. and Burford, T. H.: Chylothorax. Ann. Surg., 132 : 567, 1971.
- 10 — Khalil, K. G., Parker, F. B. Jr., Mukherjee, N. and Webb, W. R.: Thoracic duct injury. J.A.M.A., 221 : 908, 1972.
- 11 — Ikard, R. W.: Iatrogenic Chylous Ascites, The Amer. Surg., 28 : 436, 1972.
- 12 — Goodwitch, J.: Traumatic chylothorax and thoracic duct ligation. J. Thorac. Surg., 29 : 467, 1955.
- 13 — Gotmann, M. B.: Chylothorax after closure of a patent ductus arteriosus. Thorax, 21 : 129, 1966.
- 14 — Jeske, V.: Chylothorax in infancy. Thorax, 23 : 214, 1968.
- 15 — Tandon, R. K.: Chylothorax after repair of ventricular septal defect. J. Thorac. Cardiovasc. Surg., 56 : 578, 1968.
- 16 — Richelme, H., Bourgouin, A.: Un observation de plaie par arme blanche du canal thoracique. Chirurgie, 99 : 143, 1973.
Details
| Primary Language | English |
|---|---|
| Subjects | Cardiovascular Surgery |
| Journal Section | Articles |
| Authors | |
| Publication Date | June 30, 1975 |
| Published in Issue | Year 1975 Volume: 28 Issue: 1-2 |