Abstract
The AMJ is a peer-reviewed, triannual health journal published by Anuradhapura Clinical Society (ACS).The Journal strives to be a forum for all health professionals to publish original research and review articles in their area of expertise. The AMJ publishes articles in clinical medicine, public health and health promotion. Our priority is given to manuscripts on health related issues which affects the communities living in rural tropical communities. Established as a journal in 2006 as a publication parallel to ACS annual scientific sessions, the journal was relaunched as a proper journal in 2013. Anuradhapura Medical Journal is a member of COPE and is included on DOAJ.Cover Image: Computed tomography perfusion (CTP) brain image of a left-sided ischaemic stroke.The image shows time to peak (TTP) perfusion map of the brain with prolongation of TTP in hypoperfused regions of the left hemisphere identified as patchy areas highlighted in red.Dr. Hemal Senanayake
Highlights
Diagnostic and therapeutic procedures done by thoracotomy or median sternotomy cause a significant morbidity [1]
100-150 2 hr Thoracoscopy reduces the morbidity of thoracotomy [7,8,9,10,11]
Port placement at correct site is important during thoracoscopy
Summary
Diagnostic and therapeutic procedures done by thoracotomy or median sternotomy cause a significant morbidity [1]. The image is magnified and it is possible to get a closer view of the anatomy by zooming in. This will allow a precise dissection with minimal blood loss within an acceptable time. Space for dissection is obtained by collapsing the ipsilateral lung This is by single lung ventilation with a double lumen tube. One of the key factors for a successful dissection is proper placement of the camera and the working ports. This should be planned according to the site of the pathology
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