Management of postpneumonectomy empyema and bronchopleural fistula
نویسندگان
چکیده
منابع مشابه
Acute Postpneumonectomy Empyema with Bronchopleural Fistula Treated with Vacuum-assisted Closure Device
Postpneumonectomy empyema is a life-threatening complication, which is often related with a bronchopleural fistula. After surgical repair of fistula, sterilization of infected pleural cavity is important and usually carried out by long-term cyclic irrigation. We report a case in which vacuum-assisted closure device was successfully applied to sterilize the pleural cavity and obliterate bronchop...
متن کاملeComment. 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...
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 کاملDiagnosis and management bronchopleural fistula.
The diagnosis and management of bronchopleural fistula (BPF) remain a major therapeutic challenge for clinicians. It is associated with significant morbidity and mortality. Diagnosis and localisation of BPF is sometimes difficult and may require multiple imaging and bronchoscopies. Successful management of a fistula is combined with treatment of the associated empyema cavity. The first step, th...
متن کاملEmpyema and bronchopleural fistula. Experience with open window thoracostomy.
Open window thoracostomy (OWT) was created in 12 patients with empyema and sepsis after conventional therapy with antibiotics and drainage had failed. After creation of OWT all infections subsided within ten days to four months and all fistulae closed within one to four months. Complete obliteration of the empyema cavity by granulation tissue occurred in 11 of 12 patients within one to eight mo...
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ژورنال
عنوان ژورنال: Shanghai Chest
سال: 2021
ISSN: 2521-3768
DOI: 10.21037/shc.2020.03.11