A simple technique for thoracoscopic assisted placement of the distal limb of syringopleural shunts.

ABSTRACT:

Background

Syringomyelia is an unusual accumulation of fluid within the spinal cord that may be associated with significant neurologic symptoms. Surgical drainage using various techniques is often required to reduce the intraparenchymal pressure and to alleviate symptoms. Syringopleural shunting seems to produce best results.

Patients and methods

A simple technique to insert the distal limb of the syringopleural shunt into the pleural space is described in detail. The patient is placed in prone position. The syrinx is accessed from a dorsal incision and the proximal limb is inserted into the fluid cavity. The tube is tunneled through the subcutaneous space laterally and caudally. A 5mm blunt port is inserted lateral to the scapula and advanced under visual control using a 5m

SUBMITTER: Bonatti HJ 

PROVIDER: S-EPMC6171048 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature