Commentary: Transdiaphragmatic omental flap without thoracotomy for bronchopleural fistula
نویسندگان
چکیده
منابع مشابه
Failed omental flap vesicovaginal fistula repair subsequently repaired laparoscopically without an omental flap.
BACKGROUND Conventional wisdom suggests that vascular interposition flaps are helpful in the treatment of all patients with vesicovaginal fistulas. Complicated fistulas are often treated with interposition omental flaps; however, failed omental flap repairs have not been described without the use of another interposition flap. CASE A 52-year-old woman with a history of cystotomy repair at the...
متن کاملTransverse rectus abdominis myocutaneous flap for postpneumonectomy bronchopleural fistula
RATIONALE Numerous types of flap coverage have been reported to prevent or to repair bronchopleural fistulas. Most of the flaps were harvested from chest area. However, these pedicled flaps might not be optimal for the patient who has undergone previous radiotherapy on pulmonary parenchyma because the pedicle artery of the flap might have been injured by irradiation. Therefore, an alternative f...
متن کاملBronchopleural Fistula
A 58-year-old man presented to the emergency department with diffuse swelling and crepitus of his face, chest, and extremities due to subcutaneous air (Figure). The patient had a history of lung cancer and had undergone a video-assisted transthoracic surgery (VATS) with decortications. His airway was maintained, and the patient reported only minimal shortness of breath with change in his phonat...
متن کاملVesicovaginal fistula failing multiple surgical attempts salvaged laparoscopically without an interposition omental flap.
Failed vesicovaginal fistula repairs are often considered complicated and are thus relegated to an abdominal approach using an interposition omental flap. We report our successful laparoscopic approach without use of an omental flap in a patient with multiple recurrences of a vesicovaginal fistula.
متن کاملVesicocutaneous fistula treatment by using omental flap interposition
A fistula is defined as an abnormal association of two or more epithelial lining. Therefore, vesicocutaneous fistula (VCF) represents an extra anatomic communication between the bladder wall and the external surface of the skin. The most common cause is iatrogenic; however, numerous factors may play a role in the formation of VCFs. When a VCF is identified, it should be treated properly due to ...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2019
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2019.02.052