Article: Prevention of bronchial fistulas after pneumonectomies for selected cavitary drug resistant lung tuberculosis.
2023 Volume 10, Page(s) 1151137
Abstract: Background: The World Health Organization guidelines for management drug resistant tuberculosis include surgery as an additional method in selected cases. Pneumonectomies have higher risk of morbidity such as bronchial fistulas which may be prevented by ...
Abstract | Background: The World Health Organization guidelines for management drug resistant tuberculosis include surgery as an additional method in selected cases. Pneumonectomies have higher risk of morbidity such as bronchial fistulas which may be prevented by bronchial stump covering. We compare two methods of bronchial stump reinforcement. Methods and materials: A retrospective single center follow-up study was done in 52 patients who underwent pneumonectomy for drug resistant pulmonary tuberculosis. Between 2000 and 2017 we performed pneumonectomies with pericardial fat reinforcement of bronchial stump in group 1 ( Results: Bronchial fistulas occurred in 17/42 (41%) of patients group 1 and there was no fistula in group 2, and this was statistically different (Fisher's test Conclusions: The use of pedicle muscle flap for bronchial stump coverage during the pneumonectomies for destructive drug resistant tuberculosis can prevent severe postoperative fistulas and improve postoperative life. |
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Language | English |
Publishing date | 2023-03-30 |
Publishing country | Switzerland |
Document type | Journal Article |
ZDB-ID | 2773823-1 |
ISSN | 2296-875X |
ISSN | 2296-875X |
DOI | 10.3389/fsurg.2023.1151137 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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