One stage repair for an oesophageal fistula after pneumonectomy using an omental pedicle flap.
نویسندگان
چکیده
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.
منابع مشابه
Transverse 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 کاملUse 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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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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A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was 'In pneumonectomy patients, is buttressing the bronchial stump associated with a reduced incidence of bronchopleural fistula?'. Fifty-seven papers were found using the reported search, of which 12 represented the best evidence to answer the clinical question. The authors, journal...
متن کاملGastro-omental free flap reconstruction of the head and neck.
OBJECTIVE To present the use of an infrequently used tool, gastro-omental free flaps, available to head and neck surgeons in the modern reconstruction era. METHODS In this case series, 25 gastro-omental free flaps were performed. The technical aspects of harvest are reviewed, and the advantages and disadvantages of this flap are described, as well as illustrative cases displaying this flap's ...
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ورودعنوان ژورنال:
- Thorax
دوره 43 11 شماره
صفحات -
تاریخ انتشار 1988