title: Re-mediastinoscopy.
abstract: In a series of 1,188 mediastinoscopies, six re-mediastinoscopies (0.5%) were made. The indications for repeated mediastinal exploration can be made more lenient since the adhesions between the innominate artery and the trachea need not always be extensive; if they are, an alternative paratracheal route can be used. Caution should be used, keeping possible vascular complications in mind, but we believe that an earlier mediastinoscopy does not contraindicate a repeated procedure.
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008479:Mediastinal Neoplasms / Q000175:diagnosis*; D008481:Mediastinoscopy / Q000379:methods*; D008875:Middle Aged; D009362:Neoplasm Metastasis; D011183:Postoperative Complications; D000267:Tissue Adhesions