| THORACOPLATY AT THE KWANGJU CHRISTIAN HOSPITAL |
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Hoosik Hong, L. Simpson, Toohyun Pae, M.H. Lee, Woosup Pyun |
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| Abstract |
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In the past five years 26 patients have had a thoracoplasty at the Kwangju Christian Hospital. Twenty-two cases had an apiccelysis in addition to thoracoplasty(semb), 65 cases had a classical thoracoplasty(Alexander), 6 patients had a Shade thoracoplasty, and three patients had a thoracoplasty following the pulmonary resection. For purposes of analysis the 6 Shade thoraco-plastics are excluded. In the other 90 cases. 73 were male and 17 were female. Half of the patients were under thirty and no patient was over sixty. The operative mortality was 1.1%, only one patient having died. In 174 operations on the 90 patients 18 wound infections occurred, for an overall infection rate of 10%. Recently we have been draining the subscapular space with a catheter attached to suction for 48 hours. In these cases there have been 19 first stage operations with only one wound infection(5%) and 17 second stage operations with no wound infections. Therefore we are hopeful that this catheter drainage method will decrease our wound complication rate. Only one patient was lost to follow-up. Eighty-six percent of the patients achieved sputum conversion and are presumed arrested. In general about three out of four patients who did convert to sputum negative, did so in the first three or four months after operation. Two patients died with discase(2.2%) and eight patients are as yet sputum positive more than one year after operation. These are considered as probable failures. |
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