One stage repair for an oesophageal fistula after pneumonectomy using an omental pedicle flap.

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One stage repair for an oesophageal fistula after pneumonectomy using an omental pedicle flap.

A 67 year old man developed an oesophageal fistula after a pneumonectomy that was complicated by an empyema. An omental pedicle flap was brought through the diaphragm to repair the fistula and to fill the empyema space. The outcome was successful.

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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...

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Post-pneumonectomy oesophageal fistula.

The complication of oesophagopleural fistula is described in eight of 1,389 patients (0 5%) who underwent pneumonectomy for carcinoma of the bronchus. All the patients had a right pneumonectomy performed and seven of the eight patients developed a bronchopleural fistula before developing an oesophageal fistula. The complication appeared between two weeks and 22 months after pneumonectomy. All t...

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Use of an omental pedicle graft to repair a large oesophageal defect.

A 41 year old man presented with a three month history of chest pain, decreased effort tolerance, and haemoptysis. A chest radiograph suggested a large cavitating neoplasm replacing the entire left upper lobe and diffuse opacification of the remaining lung on that side. Other investigations were non-contributory. Rigid bronchoscopy identified the presence of blood within the orifice of the left...

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Successful repair using innominate vein flap, pericardial flap and thymus pedicle flap for tracheo-innominate artery fistula.

Tracheo-innominate artery fistula (TIF) is a rare but frequently fatal complication after tracheostomy. Without operation, the mortality is nearly 100% because of acute massive tracheal hemorrhage. Although the survival rate is extremely low, survival is possible only when an immediate operation is performed. Many surgeons have chosen ligation or resection of the innominate artery because repai...

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ژورنال

عنوان ژورنال: Thorax

سال: 1988

ISSN: 0040-6376

DOI: 10.1136/thx.43.11.943