A 56-year-old man complained of dyspnea and cough 9 days after coronary artery bypass grafting. Chest radiography showed opacity and left lung collapse. Following removal of clots from the pleural cavity by videothoracoscopy, he recovered without further incident. Video-assisted thoracic surgery is a feasible and safe option in the management of early hemothorax.

Transdiaphragmatic approach to the pericardium through a subxiphoid incision is a safe, rapid, and effective way to obtain drainage of the pericardium fluid in patient of disseminated malignancy with recurrent cardiac tamponade. No drainage tubes are needed; pericardial fluid is absorbed by the peritoneum; there is no need for double lumen tubes for single lung ventilation and the subxiphoid incisions are small and almost painless.

Background: Surgical Site Infection is an index of health care system of any hospital. Surgical material is a risk factor for SSI that can be easily changed. One of such measures is the use of antimicrobial suture technology which involves the impregnation of synthetic, absorbable, polymeric sutures with the antiseptic, Triclosan. Triclosan-coated sutures inhibit bacterial colonization of wide-spectrum of pathogens. This study was designed to assess the efficacy of triclosan coated sutures in reducing incidence of surgical site infection in Indian population.Methods: This is a retrospective ‘real-world’ study of 150 patients who underwent surgery and wound closure with triclosan-coated suture from May 2015 to December 2015 at Hospital, Mohali. Incidence of SSI was recorded, and nature of wound was categorized. Data was subject to descriptive analysis.Results: 99.3% of wounds sutured with triclosan coated sutures did not have surgical site infection. The single case of SSI encountered was categorized as superficial-incisional. All the evaluated cases were categorized as ‘clean’ at the time of discharge.Conclusions: Triclosan-coated sutures were responsible for the reported reduction in SSI, particularly in adult patients with clean wounds. This study justifies that in addition to the mandated core measures of surgical care, adjunctive evidence-based interventions such as Triclosan-coated sutures should be considered in the comprehensive effort to decrease risk of surgical site infection and improve outcome at both patient and institutional levels.

Bronchial carcinoids are very rare and are characterized by slow endobronchial growth. They may attain huge size but are potentially curable with surgical resection. We report a 70-years-old male with massive life threatening hemoptysis and New York Heart Association (NYHA) class IV dyspnea. He underwent successful surgical resection of a giant typical carcinoid, which was compressing the pulmonary artery, completely obstructing the left bronchus and partially occluding the right bronchus. (Ind J Thorac Cardiovasc Surg, 2006; 22: 227-229)

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