Updates in surgery
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Postoperative chylothorax is a rare complication in thoracic surgery. There is considerable controversy concerning the management of chylothorax with some physicians favoring conservative treatment while others favor a surgical one. Considering the current surgical experience with VATS and by reviewing the problems and outcome of conservative management, the guidelines regarding timing of surgery in patients with chylous leak need to be revised.
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Thyroid hemorrhage as a result of blunt trauma is a very rare condition. The choice between surgery/conservative management might be tailored over patient's health conditions. This report describes a case of neck blunt trauma causing acute thyroid hemorrhage treated first conservatively and further surgically due to a persistent dyspnea for tracheal compression.