Cryotherapy in Chest Medicine

ISBN-13: 9782817808826 / Angielski / Miękka / 2012 / 114 str.

Jean-Paul Homasson

Opis

Cryosurgery is a method of therapy that uses treatment could be viewed easily and at frequent freezing temperatures to achieve specific effects intervals. Though endoscopic cryosurgical tech- on tissues. Depending upon the technique of niques were used for the treatment of prostatic treatment, the tissue response varies from an in- disease and of laryngeal disease, the restricted flammatory reaction, which is associated with a visualization of the lesion, as well as some limi- minor freezing injury, to the destructive effect tations in apparatus, precluded continued de- which is characteristic of severe freezing injury. velopment at that time. In the following years, some early uses of Cryosurgical treatments require the use of special apparatus cooled by cryogenic agents to produce cryosurgery have fallen into disfavor, mostly be- the freezing temperatures necessary in the tissues. cause of effective competing methods of thera- As with any other method of therapy, the physi- py, but other uses of cryosurgery have become cian must place emphasis on the selection of ap- part of standard medical practice, as demonstrat- propriate patients, on the careful determination ed by incorporation into textbooks of surgery and its specialities. Today, the commonly accepted of the nature and extent of disease, and on pre- cise cryosurgical technique in order to achieve uses of cryosurgery are for the treatment of many types of skin disease, including cancer, for the good results.

Spis treści

History of cryosurgery.- The process of freezing and the mechanism of damage during cryosurgery.- Freezing of cells in suspension.- Freezing of tissue.- An analytical study of the process of freezing in the lung.- Future research.- References.- The cryogens.- CFC’s.- Carbon dioxide.- Liquid nitrogen and nitrous oxide.- Nitrous oxide.- References.- Monitoring techniques.- Thermal methods.- Volumetric methods.- Electrical methods.- References.- History of tracheo-bronchial cryotherapy.- Experimental studies.- Endobronchial cryosurgery in man.- Synthesis.- Progress.- References.- Tracheo-bronchial endoscopic cryotherapy.- Material.- — Endoscope equipment.- — Endoscopic cryoprobes.- — Cryogens.- — Monitoring techniques.- — Conclusions.- Method.- — Preparation of the patient.- — Anaesthesia.- — Endoscopy.- — Cryotherapy.- — Post-operative care.- — Conclusion.- References.- Tracheo-bronchial cryotherapy — Indications and results.- Indications.- — Symptom control indications.- — Indications according to the nature of the lesion.- — Indications according to the site.- — Indications according to the type of lesion.- Results.- — Symptomatic and functional results.- — Radiological results.- — Endoscopic results.- References.- Histopathology.- Experimental findings using the cryomicroscope.- Cryotherapy and bronchus.- References.- Technical failures or short-comings of the equipment.- Contraindications.- Complications.- Technical failures or weaknesses in the equipment.- References.- Other endoscopic interventions.- Forceps.- Endobronchial electrocautery.- Laser.- Brachytherapy.- Conclusion.- References.- Cryotherapy and other treatments.- Cryotherapy and forceps.- Cryotherapy and laser.- Cryotherapy and chemotherapy.- References.- Cryotherapy — Radiotherapy.- Personal experimental studies.- Material and method.- Results.- Discussion.- Association of cryotherapy and high dose rate endobrachytherapy.- References.- Cryotherapy of carcinoma in situ and microinvasive carcinomas.- Histopathology.- Clinical observations.- Therapy.- — Surgery.- — Local treatment.- — Cryotherapy.- Medium term results.- Discussion.- Conclusion.- References.- Pleural and lung cryobiopsies during thoracoscopy.- Material.- — Thoracoscopy.- — Cryo unit.- Method.- Results.- Histopathological findings.- Discussion.- Conclusion.- References.- Cryoanalgesia for control of post thoracotomy pain.- Cryo-effect.- Technique of freezing and positioning of chest tube.- Indications for cryoanalgesia.- Effectiveness of physiotherapy after cryoanalgesia.- Results and comment.- References.- Pulmonary cryosurgery.- Cryosurgical procedure.- Results.- Conclusion.