[Post-pneumonectomy bronchial fistula. Treatment by resection of the carina].

Presse Med

Service de Chirurgie thoracique et cardiovasculaire, CHU Dupuytren, Limoges.

Published: December 1988

A technique for the surgical treatment of bronchial fistulae developed after pneumonectomy is presented. This technique, which resembles that of Abruzzini, consists of resection of the carina followed by tracheo-bronchial suture in a healthy area away from any purulent focus of infection. It is easy to perform and facilitates the treatment of thoracic empyema which is no longer maintained by the fistula.

Download full-text PDF

Source

Publication Analysis

Top Keywords

[post-pneumonectomy bronchial
4
bronchial fistula
4
fistula treatment
4
treatment resection
4
resection carina]
4
carina] technique
4
technique surgical
4
surgical treatment
4
treatment bronchial
4
bronchial fistulae
4

Similar Publications

Article Synopsis
  • The bronchopleural fistula (BPF) is a serious complication that can occur after pneumonectomy, often addressed through various surgical buttressing techniques to improve healing.
  • A review of literature on this topic included 27 articles, but only 16 were suitable for analysis due to factors like small sample sizes and irrelevant surgical procedures.
  • The results indicated that three studies found significant benefits of using bronchial stump buttressing to reduce BPF risk, while the rest provided descriptive statistics or assessed blood perfusion in the tissue used.
View Article and Find Full Text PDF

Background: Post-pneumonectomy syndrome (PPS) is a rare but serious condition that can occur after pneumonectomy. It is characterized by a mediastinal shift towards the vacated hemithorax, which can potentially lead to respiratory failure. The management of PPS poses a clinical challenge, especially in the context of the limited availability of certain therapeutic devices due to regulatory restrictions in Japan.

View Article and Find Full Text PDF

Broncho-pleural fistula (BPF) is an abnormal communication between the bronchial lumen and the pleural space that typically occurs postoperatively. Surgical intervention is typically needed to patch the fistula; however, current literature lacks a gold standard for which treatment to use. With a high mortality rate, there is a clear urgency for quick and successful intervention.

View Article and Find Full Text PDF

A sudden drop of air-fluid level in the pneumonectomy space in the absence of a bronchopleural fistula and pleural infection is termed benign emptying of the pneumonectomy space (BEPS). We report a 28-year-old female patient who presented to a tertiary care referral centre, in Pondicherry, India in 2020 with multiple episodes of vomiting. Subsequent to a left-sided pneumonectomy due to tuberculosis, she was diagnosed with BEPS.

View Article and Find Full Text PDF

Chronic post-pneumonectomy empyema (CPPE) associated with bronchopleural fistula (BPF) is a potentially fatal complication and remains a surgical challenge. This study aims to propose a treatment protocol for managing this severe disease. From July 2009 to June 2021, 47 CPPE with BPF patients were treated in our department.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!