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Successful management of a chylothorax in infancy using a pleurectomy

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Abstract

The management of chylothorax is described in three infants. Because none of them had had a direct injury to the thoracic duct, it was suspected that the chylothoraces had a significant chance of recurrence after simple ligation of the duct. To avoid recurrence, formal stripping of the parietal pleura was performed using a technique not previously reported in the literature. The operation was simple to perform and resulted in resolution of the chylothorax in all infants. The three cases and details of the surgical procedure are described.

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References

  1. Robinson CL (1985) The management of chylothorax. Ann Thorac Surg 39: 90–95

    Article  PubMed  CAS  Google Scholar 

  2. Sassoon CS (1985) Light RW: Chylothorax and pseudochylothorax. Clin Chest Med 6: 163–171

    PubMed  CAS  Google Scholar 

  3. Wiener ES, Owens L, Salzberg AM (1973) Chylothorax after Bochadalek herniorrhaphy in a neonate. Treatment with intravenous hyperalimentation. J Thorac Cardiovasc Surg 65: 200–206

    PubMed  CAS  Google Scholar 

  4. Brodman RF, Zavelson TM, Schiebler GL (1974) Treatment of congenital chylothorax. J Pediatr 85: 516–517

    Article  PubMed  CAS  Google Scholar 

  5. Selle JG, Snyder WH, Schreiber JT (1973) Chylothorax: indications for surgery. Ann Surg 177: 245–249

    Article  PubMed  CAS  Google Scholar 

  6. Vain NE, Swarner OW, Cha CC (1980) Neonatal chylothorax: a report and discussion of nine consecutive cases. J Pediatr Surg 15: 261–265

    Article  PubMed  CAS  Google Scholar 

  7. Thurer RJ (1976) Chylothorax: a complication of subclavian vein catheterization and parenteral hyperalimentation. J Thorac Cardiovasc Surg 71: 465–468

    PubMed  CAS  Google Scholar 

  8. Johnson DC, Cartmill TB (1977) Low thoracic duct ligation for postoperative chylous effusions in infants and children. Aust N Z J Aurg 47: 94–99

    Article  CAS  Google Scholar 

  9. Stringel G, Mercer S, Bass J (1984) Surgical management of persistent postoperative chylothorax in children. Can J Surg 27: 543–546

    PubMed  CAS  Google Scholar 

  10. Craenen JM, Williams TE Jr., Kilman JW (1977) Simplified management of chylothorax in neonates and infants. Ann Thorac Surg 24: 275–277

    Article  PubMed  CAS  Google Scholar 

  11. Perry RE, Hodgman J, Cass AB (1963) Pleural effusion in the neonatal period. J Pediatr 62: 838–842

    Article  Google Scholar 

  12. Milsom JW, Kron IL, Rheuban KS, Rodgers BM (1985) Chylothorax: an assessment of current surgical management. J Thorac Cardiovasc Surg 89: 221–227

    PubMed  CAS  Google Scholar 

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Teitelbaum, D.H., Teich, S. & Hirschl, R.B. Successful management of a chylothorax in infancy using a pleurectomy. Pediatr Surg Int 11, 166–168 (1996). https://doi.org/10.1007/BF00183755

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