Successful closure of postpneumonectomy bronchopleural fistulae by latissimus dorsi island flap and closed-chest irrigation.
Bronchopleural fistula after pneumonectomy is a dreaded complication, because of its high morbidity and mortality. We describe a successful technique using closed-chest irrigation of the pleural cavity continued with transposition of a latissimus dorsi island flap.
Spiliopoulos
A
A
Department of Surgery, University Hospital of Geneva, Switzerland.
de Perrot
M
M
Licker
M
M
Murith
N
N
Robert
J
J
D000368:Aged; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D001983:Bronchial Fistula / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D010994:Pleura; D010995:Pleural Diseases / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D011013:Pneumonectomy / Q000009:adverse effects*; D011206:Povidone-Iodine / Q000627:therapeutic use; D012008:Recurrence; D012189:Retrospective Studies; D013396:Suction; D013524:Surgical Flaps; D007507:Therapeutic Irrigation / Q000379:methods; D016896:Treatment Outcome
D000891:Anti-Infective Agents, Local; D011206:Povidone-Iodine