mediastinotomy

mediastinotomy

 [me″de-as″tĭ-not´ah-me]
incision of the mediastinum.

me·di·as·ti·not·o·my

(mē'dē-as'ti-not'ŏ-mē),
Incision into the mediastinum.
[mediastinum + G. tomē, incision]

mediastinotomy

(mē′dē-ăs′tə-nŏt′ə-mē)
n.
Incision into the mediastinum.

mediastinotomy

A minimally invasive surgical procedure used to gain direct access to mediastinal structures for visualisation and biopsy.
 
Indications
Lesions or suspected lesions of the mediastinum which are inaccessible by mediastinoscopy; idiopathic mediastinal widening; cancer staging; confirmation of TB or sarcoidosis.
 
Complications
< 3%; haemorrhage, pneumothorax, vocal cord paralysis, oesophageal perforation.

Method
Anterior mediastinotomy is performed on either the left or right side; a transverse incision is made over the 2nd costal cartilage, which is removed entirely; the internal mammary vessels are divided, and the mediastinal pleura is deflected laterally, to allow entry into the extrapleural space; if needed, the excision can be extended to increased pulmonary and mediastinal access.

mediastinotomy

Pulmonology A minimally invasive surgical procedure used to gain direct access to mediastinal structures for visualization and biopsy Indications Lesions or suspected lesions of the mediastinum which are inaccessible by mediastinoscopy Indications Idiopathic mediastinal widening, cancer staging, confirmation of TB or sarcoidosis Complications < 3%; hemorrhage, pneumothorax, vocal cord paralysis, esophageal perforation. See Mediastinoscopy, Thoracotomy.

me·di·as·ti·not·o·my

(mē'dē-as'ti-not'ŏ-mē)
Incision into the mediastinum.
[mediastinum + G. tomē, incision]

mediastinotomy

incision of the mediastinum.
References in periodicals archive ?
Based on these findings, an emergent exploratory procedure with cervical and right parasternal mediastinotomy was performed for a high suspicion of delayed perforation of the esophagus with severe comorbidities.
21) Only a few patients have required a mediastinotomy.
12) The creation of a cervical fasciotomy and mediastinotomy via a low collar incision allows for effective mediastinal decompression.
All patients underwent subsequent surgical staging with mediastinoscopy, anterior mediastinotomy, and/or thoracotomy with mediastinal lymphadenectomy.
If it was malignant, they had surgical staging by mediastinoscopy, anterior mediastinotomy, and/or thoracotomy for primary lung resection and thorough mediastinal lymphadenectomy.
Retrosternal transcervical mediastinotomy was also performed because of the upper mediastinal involvement.
Safak et al, 2001 (ss) PTA drainage; R submandibular drainage; R tonsillectomy; intraoral R parapharyngeal debridment; extended cervical debridement to the level of the nipple; transcervical mediastinotomy Patient/ Duration author of therapy Outcome 1.