Thorac Cardiovasc Surg 2000; 48(3): 159-161
DOI: 10.1055/s-2000-9632
Case Report
© Georg Thieme Verlag Stuttgart · New York

Sucessful Repair of Tracheal Defect Using Gelatin-Resorcin-Formaldehyde-Glue-Reinforced Fascia Patch

T. Sasajima, K. Yamazaki, H. Sugimoto, S. Hirata, E. Yatsuyanagi
  • First Department of Surgery, Asahikawa Medical College Hospital, Asahikawa Medical College, Asahikawa, Japan
Further Information

Publication History

Publication Date:
31 December 2000 (online)

We describe the case of a 63-year-old female who underwent repair of a membranous tracheal defect. The tracheal perforation occurred after subtotal esophageal resection, and was associated with empyema due to esophago-gastric anastomotic leakage. We employed a fascia patch reinforced with Gelatin Resorcin- Formaldehyde/Glutaraldehyde glue for the repair, as pedicle muscular flaps were not available due to thoracotomy and a pericardial patch was inadequate because of the empyema. Our method was uncomplicated and provided a satisfactory result.

References

  • 1 Pairolero P C, Arnold P G. Bronchopleural fistula. Treatment by transposition of pectoralis major muscle.  J Thorac Cardiovasc Surg.. 1980;  79 142-5
  • 2 Shesol B F, Clarke J S. Intrathoracic application of the latissimus dorsi musculocutaneous flap.  Plast Reconstr Surg.. 1980;  66 842-5
  • 3 Fell S C, Mollenkopf F P, Montefusco C M, Mitsudo S, Kamholz S L, Goldsmith J, Veith F J. Revascularization of ischemic bronchial anastomoses by an intercostal pedicle flap.  J Thorac Cardiovasc Surg.. 1985;  90 172-8
  • 4 Westaby S, Shepherd M P, Nohl-Oser H C. The use of diaphragmatic pedicle grafts for reconstructive procedures in the esophagus and tracheobronchial tree.  Ann Thorac Surg.. 1982;  33 486-90
  • 5 Okike N, Payne W S, Cortese D A, Dines D E. Pericardial reconstruction of the membranous trachea after resection of adenoid cystic carcinoma.  Mayo Clin Proc.. 1978;  53 808-10
  • 6 Taffel M. The repair of tracheal and bronchial defects with free fascia grafts.  Surgery.. 1940;  8 56-71
  • 7 Bellotto F, Johnson R G, Weintraub R M, Foley J, Thurer R L. Pneumostasis of injured lung in rabbits with gelatin-resorcinol formaldehyde-glutaraldehyde tissue adhesive.  Surg Gynecol Obstet.. 1992;  174 221-4

Received for Publication: April 26, 1999

M.D., PhD T. Sasajima

First Department of Surgery, Asahikawa Medical College

4-5 Nishikagura, Asahikawa, 078

Japan

Fax: +81-16-668-2499

Email: sasajit@asahikawa-med.ac.jp