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  Atlas of major thoracoscopic pediatric lung resection for congenital pulmonary airway malformation

  Arnaud Bonnard.

  Summary: This atlas offers a step-by-step approach to Thoracoscopic surgery for Congenital Pulmonary Malformation (CPAM) in each major lung resection. This technique is still a matter of debate and is used approxmately by 50% of the surgeons in Europe. The apprehension of the thoracoscopic approach is complicated firstly by the small size of the child to whom it is proposed and secondly by the risks of perioperative or postoperative complications. Furthermore, the pulmonary malformations object of this investigation are rare, thus making this technique difficult to learn and reproduce. The volume - the result of a surgical experience acquired since 2007 in this field - offers a step-by-step approach to the procedure in each major lung resection and is illustrated by numerous intraoperative photos, short video clips and even complete resection videos; tips and tricks are presented to facilitate surgery, to make it reproducible and accessible by all surgeons, whether they are young surgeons in training or experienced surgeons. This atlas aims to complement and not to replace the direct observation in the operating room, or the procedure learning by the reader. It offers essential guide for practitioners, trainees and thoracoscopic surgeons interested in CPAM.
  
  Contents:
  1 Introduction
  2 The timing of the surgery
  3 Technical considerations - "tips and tricks" and postoperative analgesia
  4 patient position
  5 the instrumentation
  6 position of the trocars
  7 vascular control-bleeding management
  8 bronchial control - management of air leaks
  9 Post-operative management-management of complications
  10 Follow-up
  11 Upper right lobectomy
  12 Average lobectomy
  13 Lower right lobectomy
  14 Upper left lobectomy
  15 Lower left lobectomy
  16 segment definition
  17 antegrade dissection and identification of vascular and bronchial structures
  18 extra lobar sequestrectomy
  19 intralobar sequestrectomy.

  Digital Access Springer 2022
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• Article

  Prostaglandin-mediated inhibition of noradrenaline release: V. A comparison of the neuroinhibitory effect of three prostaglandins: E2, I2, and 6-keto-PGF1alpha.

  Wennmalm A.

  Prostaglandins Med. 1978 Jul;1(1):49-54.

  The effect of PGE2, PGI2, and 6-keto-PGF1alpha respectively on the contractile response of the isolated, field-stimulated guinea pig vas deferens was investigated. All three PGs were capable of inhibiting the contractile responses of the vas deferens, but the concentrations required varied considerably: PGE2 was about 700 times more active than PGI2 and about 4600 times more active than 6-keto-PGF1alpha in this respect. It is suggested that PGI2, although formed in tissues with sympathetic innervation, does not play a physiological role as inhibitor of sympathetic transmitter release.

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  PubMed