Document Detail

Open window thoracostomy in the treatment of esophageal or bronchopleural fistula with advanced mediastinitis and septic shock.
MedLine Citation:
PMID:  9021909     Owner:  NLM     Status:  MEDLINE    
Mediastinitis and septic shock following esophageal or bronchopleural fistula are rare but serious conditions with a high mortality rate. Six patients were treated with open window thoracostomy (OWT) after primary suture repair and closed tube drainage had failed to cure the patient's condition. In all cases the clinical condition improved immediately. Two patients died later because of unrelated diseases. OWT should be considered in critically ill patients with broncho- or esophagopleural fistula when primary therapy fails to control the septic focus.
K Bauwens; K Gellert; U Hanack; A Agnes; J M Müller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  44     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-04-14     Completed Date:  1997-04-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  308-10     Citation Subset:  IM    
Department of Surgery, University Hospital Charité, Humboldt University, Berlin, Germany.
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MeSH Terms
Bronchial Fistula / complications,  surgery*
Esophageal Fistula / complications,  surgery*
Fistula / complications,  surgery*
Mediastinitis / etiology*
Middle Aged
Pleural Diseases / complications,  surgery*
Shock, Septic / etiology*

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