General thoracic and cardiovascular surgery
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Gen Thorac Cardiovasc Surg · Sep 2019
Case ReportsDelayed massive hemothorax due to a diaphragmatic laceration caused by lower rib fractures.
A delayed hemothorax requiring surgical treatment is considered a rare minor thoracic injury. We experienced four cases of delayed massive hemothorax due to a diaphragmatic laceration caused by lower rib fractures. ⋯ Emergency surgical treatment was performed, and intraoperative findings revealed a diaphragmatic laceration with oozing due to injury caused by the edge of a fractured rib. After the operation, all patients were successfully discharged.
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Gen Thorac Cardiovasc Surg · Sep 2019
Case ReportsAssociation of G472A allele of membrane bound catechol-O-methyltransferase gene with chronic post-sternotomy pain.
Chronic persistent surgical pain (CPSP) is a complex disease with strong genetic component. The studies on revealed association of mutations in membrane bound catechol-O-methyltransferase gene with CPSP were reported indifferent ethnic populations across the globe. We identify that one out of four patients who underwent sternotomy procedure showed CPSP even after 3 months of surgery. ⋯ In this study 25% (1/4) showed presence G472A allele correlating with CPSP. Further the study suggested that evaluation of G472A allele of Mb. COMT gene in the patients undergoing sternotomy for monitoring pain in pre and post-surgical events.