Comparative study of the resistance of manual and mechanical sutures in the bronchial stump of dogs submitted to left pneumonectomy.

نویسندگان

  • Antônio Mauro Bof
  • Abrão Rapoport
  • Danilo Nagib Salomão Paulo
  • Luiz Carlos Filgueiras Leiro
  • Márcio Rogério Alcalá Gomes
  • Roberto Ruben Pando-Serrano
چکیده

OBJECTIVE To compare the resistance of manual suture with that of mechanical suture immediately after the suture of the left bronchial stump of dogs submitted to pneumonectomy. METHODS A total of 15 mixed-breed dogs of both genders, each weighing between 8 and 23 kg, were randomly divided into 2 groups. In group I (n = 7), the bronchial stump was sutured manually (the Sweet method) and, in group II (n = 8), it was stapled. Immediately after the closure of the bronchial stump, the intratracheal pressure was progressively increased in a controlled manner. RESULTS The mean rupture pressure of the bronchial stump suture line was 33.71 mmHg in group I and 89.87 mmHg in group II (p < 0.01). CONCLUSION These data allowed us to conclude that mechanical suture of the bronchial stump, submitted to pressure immediately after closure, is more resistant than is manual suture in dogs submitted to pneumonectomy.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Resistance to pressure of the stump after mechanical stapling or manual suture. An experimental study on sheep main bronchus.

OBJECTIVE In a previous experimental study on 60 freshly slaughtered pig trachea, a statistically significant better resistance to pressure was found after mechanical stapling compared to hand suture. The objective of this study was to determine the resistance to pressure of a bronchial stump depending upon the closure technique (manual vs. mechanical) used in sheep 14 days after pneumonectomy....

متن کامل

Pii: S1010-7940(00)00335-3

Objective: The invention of the mechanical suture of the bronchial stump resulted in the signi®cant decrease of the incidence of bronchial ®stulas. Bronchial ®stula constitutes the most dangerous complication of the pulmonary resection. In connection with some negative opinions in world literature regarding the safety of applying some types of mechanical suture, the multi-factor analysis of ef®...

متن کامل

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...

متن کامل

Video-assisted contralateral treatment for bronchial stump diastasis after left pneumonectomy.

Postoperative bronchial stump failure is a life-threatening complication, and several surgical approaches and procedures have been developed to close the stump. In this report, we describe a case of left mainstem bronchial stump diastasis after pneumonectomy for lung cancer, in which the bronchial stump was re-closed using a contralateral approach with video-assisted thoracic surgery, with good...

متن کامل

Clinical Bottom Line

pneumonectomy and co-factors. The manual closure seems to be the more preferable method in high-risk patients. An additive support suture following stapling on the bronchial stump did not decrease the risk of BPF. Deschamps et al. [7] analysed factors affecting the incidence of empyema and BPF after pneumonectomy in 713 patients who underwent pneumonectomy for different conditions. Univariate a...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

دوره 33 2  شماره 

صفحات  -

تاریخ انتشار 2007