1,720,981 research outputs found
Repair of a postesophagectomy bronchogastric tube fistula with polyglactin mesh supported with a muscle flap
No full textAbstract
A bronchogastric fistula is a very rare complication of transthoracic esophagectomy. We report a case of bronchogastric fistula after transthoracic esophagectomy caused by dehiscence of the staple line in the gastric tube, with subsequent erosion into the right main bronchus. The patient was managed successfully in two surgical stages. First, the bronchial defect was repaired using a polyglactin mesh covered by a serratus anterior muscle flap. Two months later, the esophagogastric continuity was restored with colon interposition
Pericardial flap for bronchial stump coverage after extrapleural pneumonectomy; is it feasible?
No full textBronchial stump reinforcement with viable tissue after pneumonectomy is an important prophylactic measure against the development of bronchopleural fistula. We present our technique of utilizing the pericardium on the posterior wall of the left atrium as a flap to cover the bronchial stump after extrapleural pneumonectomy. From January 1999 to March 2008, we used this technique in 50 patients (29 on the right side and 21 on the left side) with no incidence of bronchopleural fistula or empyema. This technique is proved to be feasible, safe and effective; also it does not increase operative time or surgical trauma
A word of caution for patients undergoing lung transplantation with associated mitral regurgitation
No full textImpact Factor:3.08
A completion sleeve bilobectomy for nonstump postlobectomy bronchopleural fistula
No full textWe present a novel approach for treatment of nonstump postlobectomy bronchial fistula. Our patient had right lower lobectomy for T3 N2 M0 adenocarcinoma. An increased air leak developed 8 days later, and bronchoscopy revealed the presence of a bronchial fistula. On reexploration, the bronchial stump was intact, and the membranous part of the bronchus intermedius was sloughed up to the opening of the upper lobe bronchus. A middle lobectomy with sleeve resection of the bronchus intermedius and part of the right main bronchus was performed, and the upper lobe was reanastomosed to the right main bronchus. The patient's postoperative course was uneventful, and follow-up bronchoscopy showed an intact healed anastomosis
The incidence of post-transplant bronchovascular fistula may be underestimated
No full textWe read with great interest the article by Knight et al.
The investigators reported their experience with 3
cases of post-transplant bronchovascular fistulae (BVF),
and assessed another 9 cases, including our case,2 from
the literature
Pericardial flap for bronchial stump coverage after extrapleural pneumonectomy; is it feasible?
No full textBronchial stump reinforcement with viable tissue after pneumonectomy is an important prophylactic measure against the development of bronchopleural fistula. We present our technique of utilizing the pericardium on the posterior wall of the left atrium as a flap to cover the bronchial stump after extrapleural pneumonectomy. From January 1999 to March 2008, we used this technique in 50 patients (29 on the right side and 21 on the left side) with no incidence of bronchopleural fistula or empyema. This technique is proved to be feasible, safe and effective; also it does not increase operative time or surgical trauma
Repair of a postesophagectomy bronchogastric tube fistula with polyglactin mesh supported with a muscle flap
No full textAbstract
A bronchogastric fistula is a very rare complication of transthoracic esophagectomy. We report a case of bronchogastric fistula after transthoracic esophagectomy caused by dehiscence of the staple line in the gastric tube, with subsequent erosion into the right main bronchus. The patient was managed successfully in two surgical stages. First, the bronchial defect was repaired using a polyglactin mesh covered by a serratus anterior muscle flap. Two months later, the esophagogastric continuity was restored with colon interposition
A completion sleeve bilobectomy for nonstump postlobectomy bronchopleural fistula.
No full textWe present a novel approach for treatment of nonstump postlobectomy bronchial fistula. Our patient had right lower lobectomy for T3 N2 M0 adenocarcinoma. An increased air leak developed 8 days later, and bronchoscopy revealed the presence of a bronchial fistula. On reexploration, the bronchial stump was intact, and the membranous part of the bronchus intermedius was sloughed up to the opening of the upper lobe bronchus. A middle lobectomy with sleeve resection of the bronchus intermedius and part of the right main bronchus was performed, and the upper lobe was reanastomosed to the right main bronchus. The patient's postoperative course was uneventful, and follow-up bronchoscopy showed an intact healed anastomosis
The incidence of post-transplant bronchovascular fistula may be underestimated.
No full textWe read with great interest the article by Knight et al.
The investigators reported their experience with 3
cases of post-transplant bronchovascular fistulae (BVF),
and assessed another 9 cases, including our case,2 from
the literature
Reconstruction of the right atrium with pulmonary artery homograft after resection of right atrial lipomatosis.
No full text- …
