I do a, a parietal pleurectomy fairly aggressively, and it's a, it's really, really easy. You just get into that, that space underneath the parietal pleura and just have fun stripping it off, and I think it's a far more effective way to, to seal that pleural cavity. Than than rubbing it with what effectively is sandpaper.
It's once you get started, it's hard to stop. Uh, it's strips away, and yeah, it's painful, but, um, you know, with modern analgesics, uh, you know, it's, it's it seems to be manageable.
Parietal pleurectomy is fairly easy—you get into the space underneath the parietal pleura and strip it off—and is a far more effective way to seal the pleural cavity than mechanical pleurodesis.
Tricks - Imperforate Anus and Rectourethral Fistula
▶Ep 8 · 40:23
quoteI'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch↗
quoteI do a, a parietal pleurectomy fairly aggressively, and it's a, it's really, really easy. You just get into that, that space underneath the parietal pleura and just have fun stripping it off, and I think it's a far more effective way to, to seal that pleural cavity. Than than rubbing it with what effectively is sandpaper.↗
▶Ep 1 · 11:28
quoteI've seen some recurrences after mechanical pleurodesis, and, uh, knock on wood, I haven't had any recurrences after a pleurectomy↗
▶Ep 1 · 11:28
opinionParietal pleurectomy is fairly easy—you get into the space underneath the parietal pleura and strip it off—and is a far more effective way to seal the pleural cavity than mechanical pleurodesis.↗
▶Ep 1 · 11:28
clinicalThere have been recurrences after mechanical pleurodesis, but no recurrences after pleurectomy in the speaker's experience.↗
▶Ep 1 · 14:34
quoteI, I used to do pleurectomies as well, and I found that it was incredibly painful. Um, so, I stopped doing it.↗
▶Ep 1 · 14:34
clinicalPleurectomy is incredibly painful postoperatively.↗
▶Ep 1 · 16:29
clinicalOnce you start pleurectomy, it's hard to stop because it strips away easily, and with modern analgesics the pain is manageable.↗
▶Ep 1 · 16:29
quoteIt's once you get started, it's hard to stop. Uh, it's strips away, and yeah, it's painful, but, um, you know, with modern analgesics, uh, you know, it's, it's it seems to be manageable.↗
Jeff's statements about Colorectal / ARM & Hirschsprung1 statement
Tricks - Imperforate Anus and Rectourethral Fistula
▶Ep 11 · 40:23
quoteI'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch↗
Jeff's statements about Esophageal Atresia4 statements
Thoracoscopic Repair of Tracheo-esophageal Fistula Tricks: Pediatric Surgery...
▶Ep 4 · 15:06
quoteI'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch.↗
▶Ep 4 · 15:06
opinionJeff Blair (spk_3) speculates that in the next decade, mechanical devices may be used to grab and seal the lower esophageal pouch via the upper pouch, possibly with thoracoscopic or imaging facilitation.↗
EA/TEF Discussion & Technique: Difficult Cases
▶Ep 13 · 14:32
opinionJeff Blair predicts that in the next decade, mechanical devices will be developed that can be passed through the upper pouch to mechanically grab and seal the lower pouch, possibly with thoracoscopic or imaging guidance.↗
▶Ep 13 · 14:50
quoteI think we're, we're actually sort of in that just emerging from the dark ages of repairing oesophageal atresias, and in the not too distant future, they'll be mediated with imaging techniques, perhaps plus or minus thoracoscopic↗
Jeff's statements about Esophageal Atresia4 statements
Thoracoscopic Repair of Tracheo-esophageal Fistula Tricks: Pediatric Surgery...
▶Ep 3 · 15:06
quoteI'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch.↗
▶Ep 3 · 15:06
opinionJeff Blair (spk_3) speculates that in the next decade, mechanical devices may be used to grab and seal the lower esophageal pouch via the upper pouch, possibly with thoracoscopic or imaging facilitation.↗
EA/TEF Discussion & Technique: Difficult Cases
▶Ep 11 · 14:32
opinionJeff Blair predicts that in the next decade, mechanical devices will be developed that can be passed through the upper pouch to mechanically grab and seal the lower pouch, possibly with thoracoscopic or imaging guidance.↗
▶Ep 11 · 14:50
quoteI think we're, we're actually sort of in that just emerging from the dark ages of repairing oesophageal atresias, and in the not too distant future, they'll be mediated with imaging techniques, perhaps plus or minus thoracoscopic↗
Jeff's statements about Rectourethral Fistula1 statement
Tricks - Imperforate Anus and Rectourethral Fistula
▶Ep 2 · 40:23
quoteI'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch↗
Jeff's statements about Spontaneous Pneumothorax8 statements
quoteI've seen some recurrences after mechanical pleurodesis, and, uh, knock on wood, I haven't had any recurrences after a pleurectomy↗
▶Ep 2 · 11:28
quoteI do a, a parietal pleurectomy fairly aggressively, and it's a, it's really, really easy. You just get into that, that space underneath the parietal pleura and just have fun stripping it off, and I think it's a far more effective way to, to seal that pleural cavity. Than than rubbing it with what effectively is sandpaper.↗
▶Ep 2 · 11:28
opinionParietal pleurectomy is fairly easy—you get into the space underneath the parietal pleura and strip it off—and is a far more effective way to seal the pleural cavity than mechanical pleurodesis.↗
▶Ep 2 · 11:28
clinicalThere have been recurrences after mechanical pleurodesis, but no recurrences after pleurectomy in the speaker's experience.↗
▶Ep 2 · 14:34
quoteI, I used to do pleurectomies as well, and I found that it was incredibly painful. Um, so, I stopped doing it.↗
▶Ep 2 · 14:34
clinicalPleurectomy is incredibly painful postoperatively.↗
▶Ep 2 · 16:29
quoteIt's once you get started, it's hard to stop. Uh, it's strips away, and yeah, it's painful, but, um, you know, with modern analgesics, uh, you know, it's, it's it seems to be manageable.↗
▶Ep 2 · 16:29
clinicalOnce you start pleurectomy, it's hard to stop because it strips away easily, and with modern analgesics the pain is manageable.↗
Jeff's statements about Spontaneous Pneumothorax8 statements
opinionParietal pleurectomy is fairly easy—you get into the space underneath the parietal pleura and strip it off—and is a far more effective way to seal the pleural cavity than mechanical pleurodesis.↗
▶Ep 2 · 11:28
clinicalThere have been recurrences after mechanical pleurodesis, but no recurrences after pleurectomy in the speaker's experience.↗
▶Ep 2 · 11:28
quoteI do a, a parietal pleurectomy fairly aggressively, and it's a, it's really, really easy. You just get into that, that space underneath the parietal pleura and just have fun stripping it off, and I think it's a far more effective way to, to seal that pleural cavity. Than than rubbing it with what effectively is sandpaper.↗
▶Ep 2 · 11:28
quoteI've seen some recurrences after mechanical pleurodesis, and, uh, knock on wood, I haven't had any recurrences after a pleurectomy↗
▶Ep 2 · 14:34
clinicalPleurectomy is incredibly painful postoperatively.↗
▶Ep 2 · 14:34
quoteI, I used to do pleurectomies as well, and I found that it was incredibly painful. Um, so, I stopped doing it.↗
▶Ep 2 · 16:29
clinicalOnce you start pleurectomy, it's hard to stop because it strips away easily, and with modern analgesics the pain is manageable.↗
▶Ep 2 · 16:29
quoteIt's once you get started, it's hard to stop. Uh, it's strips away, and yeah, it's painful, but, um, you know, with modern analgesics, uh, you know, it's, it's it seems to be manageable.↗
Jeff's statements about Tracheoesophageal Fistula4 statements
Thoracoscopic Repair of Tracheo-esophageal Fistula Tricks: Pediatric Surgery...
▶Ep 2 · 15:06
opinionJeff Blair (spk_3) speculates that in the next decade, mechanical devices may be used to grab and seal the lower esophageal pouch via the upper pouch, possibly with thoracoscopic or imaging facilitation.↗
▶Ep 2 · 15:06
quoteI'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch.↗
EA/TEF Discussion & Technique: Difficult Cases
▶Ep 7 · 14:32
opinionJeff Blair predicts that in the next decade, mechanical devices will be developed that can be passed through the upper pouch to mechanically grab and seal the lower pouch, possibly with thoracoscopic or imaging guidance.↗
▶Ep 7 · 14:50
quoteI think we're, we're actually sort of in that just emerging from the dark ages of repairing oesophageal atresias, and in the not too distant future, they'll be mediated with imaging techniques, perhaps plus or minus thoracoscopic↗
Jeff's statements about Tracheoesophageal Fistula4 statements
Thoracoscopic Repair of Tracheo-esophageal Fistula Tricks: Pediatric Surgery...
▶Ep 2 · 15:06
opinionJeff Blair (spk_3) speculates that in the next decade, mechanical devices may be used to grab and seal the lower esophageal pouch via the upper pouch, possibly with thoracoscopic or imaging facilitation.↗
▶Ep 2 · 15:06
quoteI'm just wondering if we're in a limbo stage here, if in the next decade we're going to actually see mechanical devices actually put down through the upper pouch that will mechanically grab and seal the lower pouch.↗
EA/TEF Discussion & Technique: Difficult Cases
▶Ep 7 · 14:32
opinionJeff Blair predicts that in the next decade, mechanical devices will be developed that can be passed through the upper pouch to mechanically grab and seal the lower pouch, possibly with thoracoscopic or imaging guidance.↗
▶Ep 7 · 14:50
quoteI think we're, we're actually sort of in that just emerging from the dark ages of repairing oesophageal atresias, and in the not too distant future, they'll be mediated with imaging techniques, perhaps plus or minus thoracoscopic↗
