TY  - CHAP
M1  - Book, Section
TI  - Minimally Invasive Methods of Managing Giant Bullae: Monaldi Procedure
A1  - Batirel, Hasan F.
A1  - Zellos, Lambros
A2  - Sugarbaker, David J.
A2  - Bueno, Raphael
A2  - Burt, Bryan M.
A2  - Groth, Shawn S.
A2  - Loor, Gabriel
A2  - Wolf, Andrea S.
A2  - Williams, Marcia
A2  - Adams, Ann
PY  - 2020
T2  - Sugarbaker’s Adult Chest Surgery, 3e
AB  - Giant  bullae  are  space-occupying  lesions  that  compress  the  surrounding  lung  parenchyma,  impairing  lung  function.  Bullae  arise  from  emphysematous  areas  of  destroyed  lung  tissue.  Hence,  they  differ  from  blebs,  which  are  localized  collections  of  air  between  visceral  pleural  layers  without  underlying  parenchymal  disease.1  Giant  bullae  can  be  classified  as  three  types  based  on  morphology:  Type  I  bullae  have  a  narrow  neck  and  are  superficial,  type  II  are  superficial  as  well  but  have  a  broad  neck,  and  type  III  are  both  broad  and  deep.2  Giant  bullae  usually  require  surgical  resection  (Fig.  104-1).  A  wide  range  of  procedures  from  open  excision,  plication,  and  drainage  to  video-assisted  bullectomy  and  anatomic  lung  resection  can  be  applied.3  Developments  in  anesthesia  and  surgery  enable  us  to  operate  on  patients  with  very  limited  pulmonary  function;  however,  a  subgroup  of  patients  carries  a  significant  risk  of  prolonged  air  leak  and  respiratory  complications  following  open  resection.  For  these  patients,  a  minimally  invasive  operation  known  as  the  Monaldi  procedure  can  be  performed.  Named  after  the  surgeon  who  developed  the  technique,  the  Monaldi  procedure  was  used  in  the  mid-  and  late  20th  century  to  drain  apically  located  tuberculous  cavities  and  lung  abscesses.  Eventually,  it  was  used  for  treating  giant  bullae.4  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1170412749
ER  -