title: Bronchopleural fistula closed with cellulose patch and fibrin glue.
abstract: We describe a bronchoscopic technique for closing small postoperative bronchopleural fistulas, using an oxidized regenerated cellulose patch and fibrin glue. The patch is mounted on the end of endoscopic forceps and introduced into the fistula to cover it. Intracavitary and submucosal injections of fibrin glue fill the bronchial stump and achieve apposition of the fistula edges. Closure was obtained in 3 of 4 patients; the 4th had complete bronchial dehiscence and empyema.
authors: Thoracic Surgery Unit, Second University of Naples, Naples, Italy.
authors: Alfonso
authors: A
authors: Fiorelli
authors: Thoracic Surgery Unit, Second University of Naples, Naples, Italy.
authors: Elisabetta
authors: E
authors: Frongillo
authors: Thoracic Surgery Unit, Second University of Naples, Naples, Italy mario.santini@unina2.it.
authors: Mario
authors: M
authors: Santini
mesh_terms: D000328:Adult; D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery; D001999:Bronchoscopy / Q000295:instrumentation / Q000379:methods; D002482:Cellulose / Q000627:therapeutic use*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D053831:Surgical Fixation Devices; D014014:Tissue Adhesives / Q000627:therapeutic use; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000295:instrumentation / Q000379:methods
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives; D002482:Cellulose
keywords: Bronchial fistula; bronchoscopy; fistula; pleural diseases; postoperative complications; tissue adhesives