7
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Mioplastia en el tratamiento de fístulas broncopleurales Translated title: Myoplasty in the treatment of bronchopleural fistulas

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Las fístulas broncopleurales posoperatorias asociadas o no a empiema constituyen una fuente importante de morbimortalidad en pacientes que han sufrido resecciones pulmonares, principalmente cuando se tratan enfermedades malignas. El objetivo de este artículo es revisar los resultados obtenidos en el tratamiento de 6 pacientes tratados entre 1997 y 2003. La operación previa fue neumonectomía derecha en 5 pacientes y lobectomía superior derecha en uno. Las causas de la operación fueron traumatismo, tumores benignos y malignos y tuberculosis. En los 6 pacientes se utilizó mioplastia con el dorsal ancho para la obliteración de la cavidad pleural remanente. Las técnicas complementarias comprendieron el uso de colgajos pediculados de músculo intercostal (3 pacientes), mioplastia con el músculo pectoral mayor y toracoplastia parcial en un paciente cada una. La complicación más frecuente fue la fuga aérea mantenida por más de 10 días. Todos los pacientes mantenían el cierre bronquial al año de la operación

          Translated abstract

          The postoperative bronchopleural fistulas associated or not with empyema are an important source of morbimortality in patients that have suffered from pulmonary resections, mainly when malignant diseases are treated. The purpose of this article is to review the results obtained in the treatment of six patients from 1997 to 2003. The previous operation was right pneumonectomy in five patients and upper right lobectomy in one. The causes of the operation were traumatism, benign and malignant tumors and tuberculosis. In the six patients, it was used myoplasty with the wide dorsal for the obliteration of the remaining pleural cavity. The complementary techniques comprised the use of pedicled flaps of intercostal muscle (3 patients), myoplasty with the pectoralis major and partial thoracoplasty in a patient, each one. The most frequent complication was the aerial leakage maintained for more than ten days. All the patients kept the bronchial closure a year after the operation

          Related collections

          Most cited references21

          • Record: found
          • Abstract: found
          • Article: not found

          Central bronchopleural fistulas closed by bronchoscopic injection of absolute ethanol.

          Five consecutive bronchopleural fistulas (BPFs) were successfully treated by injecting absolute ethanol directly into the submucosal layer of the fistula under flexible bronchoscopic observation. No complications occurred as a result of this treatment. Our nonsurgical treatment may be very useful to reduce the costs of and duration of hospitalization and to improve the patient's quality of life. This is the first report of the bronchoscopic closure of BPFs by injecting absolute ethanol, and we would recommend this treatment as a first-line therapy for patients with a postoperative central BPF with an orifice that is < 3 mm in diameter.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Closure of large intrathoracic airway defects using extrathoracic muscle flaps.

            Prospective assessment of pedicled extrathoracic muscle flaps for the closure of large intrathoracic airway defects after noncircumferential resection in situations where an end-to-end reconstruction seemed risky (defects of > 4-cm length, desmoplastic reactions after previous infection or radiochemotherapy).
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Thoracic Surgery

                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                cir
                Revista Cubana de Cirugía
                Rev Cubana Cir
                Editorial Ciencias Médicas (Ciudad de la Habana )
                1561-2945
                June 2004
                : 43
                : 2
                : 0
                Affiliations
                [1 ] Hospital Clínico Quirúrgico Hermanos Ameijeiras Cuba
                Article
                S0034-74932004000200003
                0a5dc15a-ffb7-429f-affd-78d365807ea6

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Cuba

                Self URI (journal page): http://scielo.sld.cu/scielo.php?script=sci_serial&pid=0034-7493&lng=en
                Categories
                SURGERY

                Surgery
                Myoplasty,bronchopleural fistula,Mioplastia,fístula broncopleural
                Surgery
                Myoplasty, bronchopleural fistula, Mioplastia, fístula broncopleural

                Comments

                Comment on this article