RSS-Feed abonnieren
DOI: 10.1055/s-0030-1250653
© Georg Thieme Verlag KG Stuttgart · New York
Triple Reinforcement of Bronchial Stump
Publikationsverlauf
received August 11, 2010
Publikationsdatum:
08. April 2011 (online)
![](https://www.thieme-connect.de/media/thoracic/201103/lookinside/thumbnails/10.1055-s-0030-1250653-1.jpg)
Abstract
Various methods are used to prevent bronchopleural fistula following anatomical lung resection, as bronchopleural fistula constitutes a life-threatening complication. Pleural flaps are less vascularized, whereas an intercostal muscle flap, although well vascularized, does not offer enough strength for repair. We describe here the use of pleural flaps to strengthen a bronchial closure and cover the defect. Subsequently, an intercostal muscle flap is buttressed over the bronchial stump.
Key words
chest - bronchial disease (includes injury - stenosis - tumor - etc.) - chest wall
References
- 1 Maniwa T, Saito Y, Kaneda H, Imamura H. Bronchial stump reinforcement with the intercostal muscle flap without adverse effects. Eur J Cardiothorac Surg. 2006; 30 (4) 652-656
- 2 Taghavi S, Marta G M, Lang G et al. Bronchial stump coverage with a pedicled pericardial flap: an effective method for prevention of postpneumonectomy bronchopleural fistula. Ann Thorac Surg. 2005; 79 (1) 284-288
- 3 Sayeed-Shah U, Strachan J, Elefteriades J A. Diaphragm flap for routine prophylactic reinforcement of bronchial stump after pneumonectomy. Ann Thorac Surg. 2001; 71 (6) 2081-2083
- 4 Berrisford R G, Mercer J L. Pleural slide technique for covering the left bronchial stump. Ann Thorac Surg. 1996; 61 (6) 1876-1877
- 5 Kakadellis J, Karfis E A. The posterior membranous flap technique for bronchial closure after pneumonectomy. Interact Cardiovasc Thorac Surg. 2008; 7 (4) 638-641
- 6 Reinhoff W F, Gannon J, Sherman I. Closure of the bronchus following total pneumonectomy. Ann Surg. 1942; 116 481-531
- 7 Anderson T M, Miller Jr J I. Use of pleura, azygos vein, pericardium, and muscle flaps in tracheobronchial surgery. Ann Thorac Surg. 1995; 60 729-733
Dr. Prashant N. Mohite, MCh
Department of Cardiovascular and Thoracic Surgery
Post Graduation Institute of Medical Education and Research
Sector 12
160015 Chandigarh
India
Telefon: +91 99 14 22 12 55
Fax: +91 17 22 75 50 52
eMail: drprashantis@rediffmail.com