Successful closure of bronchopleural fistula by omental pedicle flap after pneumonectomy

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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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Bronchopleural Fistula After Pneumonectomy: Mechanical Stapling Versus Hand Suturing

Objectives: Bronchpleural fistula (BPF) after pneumonectomy is a serious complication, occurring in 1-15% of the cases. Study aim was to evaluate the incidence of BPFs between hand sutured and stapled bronchus closure. Methods: Hospital records of 549 consecutive pneumonectomy patients were reviewed retrospectively. The bronchial stump was closed in 510 patients using a uniform interrupted hand...

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eComment. post-pneumonectomy empyema with bronchopleural fistula.

Andreetti et al. regarding the treatment of post-pneumonectomy bronchopleural fistula (PPBPF) by self-expandable stent and we agree that this modality can be in the armamentarium of cardiothoracic surgeons [1]. PPBPF is one of the most serious and lethal complications in thoracic surgery. There are well-known predisposing factors related to this devastating postoperative complication such as ex...

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Closure of a post-pneumonectomy bronchopleural fistula with fibrin sealant (Tisseel).

A persistent post-pneumonectomy bronchopleural fistula and empyema were successfully treated by draining and cleansing the empyema cavity and then occluding the fistula with fibrin sealant.

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Non-surgical closure of post-pneumonectomy empyema with bronchopleural fistula after open window thoracotomy using basic fibroblast growth factor.

Empyema with bronchopleural fistula (BPF) is one of the severest complications following pneumonectomy. Many papers have reported that it is difficult to cure, with a high rate of associated mortality. Closure of the fistula and an appropriate choice of obliteration materials are crucial for successful treatment. However, obliteration is sometimes impractical because of a lack of suitable mater...

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ژورنال

عنوان ژورنال: The Journal of the Japanese Association for Chest Surgery

سال: 1991

ISSN: 0917-4141,1884-1724

DOI: 10.2995/jacsurg1987.5.123