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Vol. 21. Issue 3.
Pages 131-133 (May - June 1985)
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Vol. 21. Issue 3.
Pages 131-133 (May - June 1985)
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Abordaje transesternal de fistula postneumonectomia. A proposito de dos casos
Transsternal approach for post-pneumectomy fistulas. Two case reports
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M. Carbajo Carbajo, F.J. Ortega Morales, M. Hernandez Alonso, W. Torre Buxaleu
Cirugía Torácica. Hospital Nacional Marqués de Valdecilla. Santander
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Se presentan dos casos de fístula broncopleural post-neumonectomia con dehiscencia total de la sutura, tratadas quirúrgicamente a través de esternotomía media al mes y los 26 meses de la neumonectomía.

La indicación es excepcional pero presenta entre otras las siguientes ventajas: se aborda el bronquio por tejido sano, es una cirugía radical y mejoría subjetiva inmediata.

The authors present two cases of bronchopleural fistula following pneumectomy, in which the sutures became totally dissolved. Medical sternotomy was performed for repair of the fistulas at one month and 26 months after pneumectomy. The transsternal approach offers several advantages: the bronchial tree is approached through healthy tissue, surgery is radical and there is immediate subjective improvement.

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Bibliografia
[1.]
D. Weissber.
Empyema and bronchopleural fistula: experience with open window thoracostomy.
Chest, 82 (1982), pp. 447-450
[2.]
M. Perelman.
Surgery of the trachea.
Moscu Mir ed., (1971), pp. 218-233
[3.]
H. Roksvaag, L. Skaleberg, C. Nordberg, K. Solheim, B. Hoivik.
Endoscopio closure of bronchial fistula.
Thorax, 38 (1983), pp. 696-697
[4.]
W.L. Barker, L.P. Faber, W.E. Ostermiller Jr., H.T. Langston.
Management of persistent bronchopleural fistulas.
J Thorac Cardiovasc Surg, 62 (1971), pp. 393-401
[5.]
L. Virkkula, S. Aerola.
Treatment of postneumonectomy empyema.
Scand J Thor Cardiovasc Surg, 8 (1974), pp. 133-137
[6.]
L. Virkkula, S. Aerola.
Use of omental pedicle for treatment of bronquial fistula after lower lobectomy: report of two cases.
Scand J Thor Cardiovasc Surg, 9 (1975), pp. 287-290
[7.]
L. Virkkula, S. Aerola.
Use for pectoralis skin pedicle flap for closure of large bronchial fistula connected with postneumonectomy empyema.
Scand Thor Cardiovasc Surg, 9 (1975), pp. 144-148
[8.]
P. Pairolero, P.G. Arnold.
Bronchopleural fistula Treatment by transposition of pectorales majory muscle.
J Thorac Cardiovasc Surg, 79 (1980), pp. 142-145
[9.]
J.R. Hankins, J. Miller, S. Attar, J.R. Satterfield, S. Mc Laughlin.
Bronchopleural fistula: thirteen-year experience with 77 cases.
J Thorac Cardiovasc Surg, 76 (1978), pp. 755-762
[10.]
P. Abruzzini.
Technique personelle de traitement chirurgical des fistules de la bronche principale consecutives a la pneumonectomie.
Bronches, 5 (1962), pp. 422
Copyright © 1985. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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