naa a22 4500 510727980 CHVBK 20180411082942.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11748-013-0307-4 doi (NATIONALLICENCE)springer-10.1007/s11748-013-0307-4 Subcutaneous drain insertion in patients with post-operative extensive subcutaneous surgical emphysema: a single centre experience [Elektronische Daten] [Anas Boulemden, Paul Aifesehi, Arun Pajaniappane, Kelvin Lau, Amrita Bajaj, Apostolos Nakas, David Waller, Sridhar Rathinam] Objective: Extensive surgical subcutaneous emphysema (ESE) albeit a benign condition could cause patients distress and in many cases temporary vision impairment. We describe the role and value of early subcutaneous drain insertion (SCD) in the management of ESE and patients' experience in this cohort study. Methods: Extensive surgical subcutaneous emphysema is that which extends to the neck and/or the peri-orbital region. A cohort study of a prospectively collected data was conducted between December 2009 and January 2012. All patients with extensive post-operative surgical emphysema who had SCD (size ≥24 French gauge) were included. Results: 1069 thoracic procedures were performed. 21 patients (1.96%) were diagnosed with extensive surgical emphysema, there were 16 males, median age was 65 (54-82years). There were 16 VATS and 5 open procedures. All patients had chest surgical emphysema, 16 patients had peri-orbital and neck swelling and 5 had neck swelling. Surgical emphysema occurred within a median of 3days post-operatively. 14 (67%) patients had 1 subcutaneous drain inserted, and 7 (33%) had bilateral SCD insertion (1 drain each side). 19 (90%) patients experienced improvement of their symptoms with resolution of neck and peri-orbital swelling within 1day of SCD insertion, 2 patients had their symptoms improved within 2days. All patients were satisfied with the outcome following insertion of SCD. Conclusions: ESE should always be investigated and treated promptly. Early SCD insertion has a valuable role in the management of ESE with improvement of patients' experience. The Japanese Association for Thoracic Surgery, 2013 Extensive surgical subcutaneous emphysema nationallicence Subcutaneous chest drain nationallicence Patients' satisfaction nationallicence Boulemden Anas Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut Aifesehi Paul Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut Pajaniappane Arun Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut Lau Kelvin Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut Bajaj Amrita Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut Nakas Apostolos Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut Waller David Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut Rathinam Sridhar Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut General Thoracic and Cardiovascular Surgery Springer Japan 61/12(2013-12-01), 707-710 1863-6705 61:12<707 2013 61 11748 https://doi.org/10.1007/s11748-013-0307-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-013-0307-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Boulemden Anas Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut NATIONALLICENCE 700 1- Aifesehi Paul Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut NATIONALLICENCE 700 1- Pajaniappane Arun Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut NATIONALLICENCE 700 1- Lau Kelvin Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut NATIONALLICENCE 700 1- Bajaj Amrita Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut NATIONALLICENCE 700 1- Nakas Apostolos Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut NATIONALLICENCE 700 1- Waller David Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut NATIONALLICENCE 700 1- Rathinam Sridhar Department of Thoracic Surgery, Glenfield Hospital, University Hospitals of Leicester, Groby Road, LE3 9QP, Leicester, UK aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/12(2013-12-01), 707-710 1863-6705 61:12<707 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer