WebSurgical management of chylothorax involves ligation of the thoracic duct, and a subtotal pericardectomy. The rationale for ligation of the thoracic duct is based on formation of lymphaticovenous anastomoses that divert chyle flow away from the thoracic duct system. The thoracic duct is dissected in the caudal mediastinum to place several clips ... WebSurgical management of chylothorax consists of either controlling the chyle leak via ligation of the thoracic duct or the culprit tributary and controlling the pleural space.
Congenital chylothorax: current perspectives and trends RRN
WebMar 20, 2024 · Attention to the anatomy and physiology of the leak, followed by stepwise dietary and pharmacologic management, obviates the need for surgical intervention in a majority of patients. In this article, we review the importance, etiology, anatomy, diagnosis, nutrition and immunologic effects, and options for treatment of chylothorax and chylous ... WebOct 1, 2011 · Management of postoperative chylothorax. Chylothorax is a rare but severe complication of thoracic and esophageal surgery. The anatomical relations of the thoracic duct and its highly variable anatomy may explain the occurrence of thoracic duct injury during dissection of the posterior mediastinum. At an early stage, chylothorax can lead … pof gentuza
Nutritional management of postoperative chylothorax in children …
WebNutritional support in adults with chyle leaks We provide a practical approach to the complex management problem of chyle leaks that occur after surgical procedures or trauma, or when they occur spontaneously in association with malignancies. The volume of chyle loss causes significant problems due to loss of fluid, electrolytes, proteins, and l … WebApr 1, 2015 · Chylothorax is a rare sequela to cardiac surgery, associated with high rates of morbidity and mortality. There are various medical and surgical options for its management. We describe 2 cases of chylothorax that developed after coronary artery bypass grafting and were managed successfully with medical therapy alone.Conservative treatment such … pof frogs rs3