indigo-carmine and Wounds-and-Injuries

While performing thoracoscopic wedge resection of the lung, the location of the lesion is generally identified by visual inspection or palpation. When difficulty in identification of the lesion by thoracoscopy is anticipated, preoperative marking is performed. However, complications and technical difficulties plague current marking techniques. To overcome this problem, we designed a new, safe and easy marking technique that avoids pleural puncture, called the intrathoracic stamping method.

Topics: Coloring Agents; Humans; Indigo Carmine; Lung; Lung Neoplasms; Multiple Pulmonary Nodules; Palpation; Pleura; Predictive Value of Tests; Preoperative Care; Solitary Pulmonary Nodule; Thoracic Surgery, Video-Assisted; Tomography, X-Ray Computed; Wounds and Injuries

Topics: Coloring Agents; Humans; Indigo Carmine; Lung; Lung Neoplasms; Multiple Pulmonary Nodules; Pleura; Solitary Pulmonary Nodule; Thoracic Surgery, Video-Assisted; Wounds and Injuries

Frequently traumatic injury to the renal pelvis or upper ureter is overshadowed by multiple associated injuries. The diagnosis may be particularly difficult, due to the lack of hematuria and absence of pathognomonic findings. All too frequently the delayed manifestations of urinary wound drainage, retroperitoneal mass, or urinary ascites and sepsis first draw attention to the ureteral injury. A review of the problem and our experience with 16 such injuries is presented. As with other infrequent injuries the single and most important diagnostic factor is the prepared mind of the examiner. We feel all patients who have penetrating abdominal trauma, have fractured lumbar processes, or are involved in accidents where deceleration or extension occur should have infusion pyelography even in the absence of hematuria.

Topics: Adolescent; Aged; Child; Female; Humans; Hydronephrosis; Indigo Carmine; Kidney Pelvis; Male; Nephrectomy; Ureter; Urography; Wounds and Injuries; Wounds, Gunshot; Wounds, Nonpenetrating