Bronchial fistula closure with negative pressure wound therapy: a feasible and cost-effective treatment.
Treatment of bronchial fistula (BF) after pulmonary lobectomy is a challenge. Often, patients require long hospital stay, have recurrent empyema and pneumonia, are susceptible to sepsis, often need broad-spectrum antibiotics, as well as various surgical approaches. With the advent and growing evidence of the benefits of negative pressure therapy (NPT), its use in some patients with BF has been reported with encouraging results concerning its feasibility and cost-effectiveness. The aim of this study was to demonstrate the application of NPT as a resource for BF treatment and comparatively analyze the overall cost of treatment. RESUMO O tratamento de fístula brônquica (FB) após lobectomia pulmonar é um desafio. Muitas vezes, o paciente demanda longo tempo de internação, apresenta recidivas de empiema e pneumonia, pode evoluir para sepse, frequentemente necessita de antibioticoterapia de amplo espectro, bem como de várias abordagens cirúrgicas. Com o advento e acúmulo de evidências dos benefícios da terapia por pressão negativa (TPN), seu uso em alguns pacientes com FB tem sido relatado com resultados animadores relativos à sua viabilidade e ao seu custo-efetividade. O objetivo deste estudo foi demonstrar a aplicação de TPN como recurso para tratamento da FB e analisar comparativamente o custo global do seu tratamento.
- Division of Plastic Surgery, Clinics Hospital, Ribeirão Preto Medical School, University of Sao Paulo.
Rodrigo Barboza
RB
Nunes
- Division of Plastic Surgery, Clinics Hospital, Ribeirão Preto Medical School, University of Sao Paulo.
Bruno Francisco
BF
Müller
- Division of Thoracic and Cardiovascular Surgery, Clinics Hospital, Ribeirão Preto Medical School, University of Sao Paulo.
Federico Enrique Garcia
FE
Cipriano
- Division of Plastic Surgery, Clinics Hospital, Ribeirão Preto Medical School, University of Sao Paulo.
Pedro Soler
PS
Coltro
- Division of Plastic Surgery, Clinics Hospital, Ribeirão Preto Medical School, University of Sao Paulo.
Jayme Adriano
JA
Farina
D001983:Bronchial Fistula / Q000601:surgery*; D003362:Cost-Benefit Analysis; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy / Q000191:economics*