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 ?
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.
Ambulatory mediastinoscopy and anterior mediastinotomy.
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.
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.
A preterm patient who was not in labor had refractory cough, dyspnea, pneumomediastinum, and massive subcutaneous emphysema that improved rapidly after 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.
Retrosternal transcervical mediastinotomy was also performed because of the upper mediastinal involvement.