[Prophylaxis and treatment of the incompetent stump of the primary bronchus and tracheobronchial anastomosis with using omentoplasty].
An analysis of risk factors of incompetence of the bronchus stump or tracheobronchial anastomosis has shown that the statistically reliable factors (p < 0.05) were: male gender of the patient, neglected lung cancer, high degree of purulent intoxication, preoperative gamma-therapy, certain kinds of performing sutures, the degree of acute respiratory insufficiency. The traditional methods of plasty of the primary bronchus stump or tracheobronchial anastomosis in patients with the high objective risk of the development of incompetence of their sutures are known to be not effective. An experience with 70 prophylactic and curative omentoplasties has shown than the application of the greater omentum for plasty can substantially reduce frequency of the formation of acute bronchopleural fistulas, but the technique of fixation of the omentum to the trachea and opposite primary bronchus is of great significance for realization of the omentum plasty potential.
Chichevatov
D A
DA
Gorshenev
A N
AN
Sergeev
I V
IV
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001980:Bronchi / Q000098:blood supply / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control* / Q000601:surgery*; D014132:Trachea / Q000098:blood supply / Q000503:physiopathology / Q000601:surgery