Cryotherapy in Chest Medicine

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.

Klappentext

The aim of this book is to inform physicians about the uti- lisation of cryotherapy in pulmonology. The subject of this work is thus an extensive study of this therapeutic procedu- re in the speciality. It begins with the history of the technique and presents all data that allow for an understan- ding of the process of cryodestruction with its therapeuti- cal applications in pulmonology and thoracic surgery, i.e. theoretical bases, materials, methods, indications, results, comparison to and association with other techniques, studies inprogress and research modalities. The principal characte- ristic of this book is that it is the first one presenting this new method; the reader willfind in it all the informa- tion necessary for the best understanding and use of this technique in current medical practice. However, some data presented, still part of ongoing research or under pro- spective study, leave the way open to research workers and to all those who wish to supercede the simple therapeutic result that remains the primary concern. Itis thus an enti- rely new approach to treatment of benign or malignant endo- bronchial lesions that is not well understood and sometimes unjustly criticized. The reader will discover a technique which is based on solid fundamentally documented grounds. He will be inclined to use it; if he already does so, he will have at his disposal a codified reference book and will be able to strengthen his current knowledge.

Inhalt
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.- Method.- References.- Tracheo-bronchial cryotherapy Indications and results.- Indications.- 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.- Medium term results.- Discussion.- Conclusion.- References.- Pleural and lung cryobiopsies during thoracoscopy.- Material.- Method.- Results.- Histopathological findings.- Discussion.- Conclusion.- References.- Cryoanalgesiafor 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.