Prophylactics of incompetence of the bronchus stump and bronchial fistulas after pneumonectomy

The article is based on the materials of experimental and clinical investigations of healing the bronchus stump after pneumonectomy depending on different methods of surgical treatment, closure and cover. The course of postoperative period after pneumonectomy is analyzed in 249 patients. A system of...

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Bibliographic Details
Published in:	Vestnik hirurgii im. I.I. Grekova Vol. 168; no. 2; p. 69
Main Author:	Lishenko, V V
Format:	Journal Article
Language:	Russian
Published:	Russia (Federation) 2009
Subjects:	Animals Bronchi - surgery Bronchial Fistula - diagnosis Bronchial Fistula - etiology Bronchial Fistula - prevention & control Bronchoscopy Disease Models, Animal Dogs Female Humans Male Pneumonectomy - adverse effects Reoperation - methods Surgical Flaps Suture Techniques Tomography, X-Ray Computed Treatment Outcome
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Summary:	The article is based on the materials of experimental and clinical investigations of healing the bronchus stump after pneumonectomy depending on different methods of surgical treatment, closure and cover. The course of postoperative period after pneumonectomy is analyzed in 249 patients. A system of prophylactic measures is proposed which considers the main links of pathogenesis of the complication. Using this system (including the modified Overholt method of treatment of the stump, closure with clips and covering with a pericardial pedicle flap as well as rational management of the cavity after pneumonectomy) allowed the frequency of bronchial fistulas to be considerably reduced.
ISSN:	0042-4625