COMPLICATIONS OF EXTUBATION BEFORE CHEST TUBE REMOVAL

Background: A surgery that does not require even a single night stay in the hospital is called the ambulatory surgery and it is an operative management. However, due to the requirement of air leaking management, the application of ambulatory surgery is still limited in thoracic surgery. To review our ambulatory surgery institutional experience by a chest, drain removal before the extubation in thoracic sympathectomy surgery is the main objective of this research.

 Methods

A retrospective analysis has been performed of patients who suffered thoracic sympathectomy. This was done in the duration ranging between Nov, 2014 & July 2017 and it was performed in the Thoracic Surgery Department of Mayo Hospital Lahore.

Results

The number of patients was seventeen who underwent thoracic bilateral sympathectomy during this research. During this study, five males were operated against twelve females. In the age ranging between 17 to 33 years, the average age was taken as 24.47 years. During all frame times, nothing such as chest X-ray disorder was identified. There was no question of developing respiratory distress during after operation period. Furthermore, no postoperative morbidities were found during the follow up. There was a level of complete satisfaction among all patients regarding the procedure at the finishing of the follow up.

Conclusions

Provided the patient is well selected, the ambulatory thoracic surgery procedures can be securely & effectively applied. Large number of patients can be benefitted from alleviated thoracic surgery & the progress on operative mini invasive techniques will go higher.

Keywords: Video thoracic surgery, Thoracic sympathectomy, Ambulatory surgery