Document Detail


Management of bronchopleural fistula following pneumonectomy.
MedLine Citation:
PMID:  6528275     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bronchopleural fistula developed in 28 (12.5%) of 225 pneumonectomies performed for pulmonary carcinoma of non-small cell types during a 10-year period. The incidence of fistula apparently decreased significantly when chromic catgut was replaced by Dexon for closure of the bronchial stump. The fistula presented as an emergency in nine cases and was subacute in 19. The overall mortality from bronchopleural fistula was 28.6%. Conservative treatment, i.e. bronchoscopic application of silver nitrate to destroy the epithelium in the bronchial stump and induce granulation, achieved closure of fistula in all the surviving patients. In the seven patients with sterile pleural cavity the pleura was not drained. The results justified our principle of conservative management when a bronchopleural fistula does not present as an emergency. In emergency situations, however, or if the pleural fluid is purulent, pleural drainage should be instituted.
Authors:
K Høier-Madsen; S Schulze; V Møller Pedersen; E Halkier
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of thoracic and cardiovascular surgery     Volume:  18     ISSN:  0036-5580     ISO Abbreviation:  Scand J Thorac Cardiovasc Surg     Publication Date:  1984  
Date Detail:
Created Date:  1985-04-12     Completed Date:  1985-04-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0121343     Medline TA:  Scand J Thorac Cardiovasc Surg     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  263-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Bronchial Fistula* / etiology,  mortality,  therapy
Carcinoma / surgery
Drainage
Empyema / etiology
Female
Fistula* / etiology,  mortality,  therapy
Humans
Lung / pathology
Lung Neoplasms / surgery
Male
Middle Aged
Pleural Diseases* / etiology,  mortality,  therapy
Pneumonectomy*
Postoperative Complications
Silver Nitrate / diagnostic use
Thoracoplasty
Chemical
Reg. No./Substance:
7761-88-8/Silver Nitrate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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