[Changes of plombage-operations in respiratory surgery].
The first plombage-operation for pulmonary tuberculosis was by Dr. Nagaishi (1947) and Dr. Wilson, who developed the plombage method employing hollow polymethylmethacrylate spheres. Although the method presented a relatively effective option at a time when no effective drugs were available, its use was discontinued because of such complications as lung injury, cavity-perforation, and empyema. Therefore, soft elastic resin materials, such as those used in sponge-plombage and air-plombage, replaced the hard resin materials. Each plombage method is associated with a certain medical historical period, in Japan. Still the "Kinchyu" method was used. However, the complication of chronic empyema with bronchopleural fistula was difficult to treat. A notable recent method is the pedicled omentum plombage method, which is effective in the treatment of patients who have not responded to standard operations. Finally there was surely a clinical significance in each medical historical period.
Kitano
M
M
Department of Thoracic Surgery, Tenri Hospital.
Nagasawa
M
M
Tanaka
F
F
Koh
S
S
D000328:Adult; D005260:Female; D006801:Humans; D008768:Methylmethacrylates; D008875:Middle Aged; D009852:Omentum; D015503:Surgical Sponges; D013903:Thoracic Surgery / Q000379:methods*; D014397:Tuberculosis, Pulmonary / Q000601:surgery*
D008768:Methylmethacrylates