Mediastinal parathyroid tumors: experience with 38 tumors requiring
mediastinotomy for removal.
The availability of these investigations made the more invasive procedures like mediastinotomy and mediastinoscopy less necessary.
Since most of the mediastinal lesions occur in anterior mediastinum and which can be sampled by FNAC or CNB under USG/CT guidance and so more invasive procedures like mediastinoscopy, mediastinotomy and thoracoscopy can be avoided.
Surgical procedures such as mediastinal lymphadenectomy, anterior
mediastinotomy, and more recently, video-assisted thoracic surgery has significant morbidity and even mortality.
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Mediastinotomy is a surgical procedure that opens the chest cavity to remove samples of mediastinal lymph nodes while you're under general anesthesia.
In two cases, no definitive diagnosis was reached and the patients had to undergo, later on, further invasive testing like VATS biopsy or
mediastinotomy.
Mediastinotomy: A surgical procedure that opens the chest cavity to remove samples of mediastinal lymph nodes while you're under general anesthesia.
(21) Only a few patients have required a
mediastinotomy. (7,22)
In the rare case involving severe cardiovascular symptoms, a
mediastinotomy, performed by incising above the manubrium sternum, may be indicated to relieve a tension pneumomediastinum, or symptomatic subcutaneous emphysema.
If the parathyroid adenoma is located in the mediastinum, median sternotomy, thoracotomy,
mediastinotomy, mediastinoscopy, or thoracoscopy may be required for resection, similar to other mediastinal masses (6-8).
(12) The creation of a cervical fasciotomy and
mediastinotomy via a low collar incision allows for effective mediastinal decompression.
Retrosternal transcervical
mediastinotomy was also performed because of the upper mediastinal involvement.