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European Journal of Cardio-Thoracic Surgery, Vol 8, 122-124, Copyright © 1994 by European Association for Cardio-thoracic Surgery

ARTICLES

Omentoplasty for postpneumonectomy bronchopleural fistulas

H Yokomise, Y Takahashi, K Inui, K Yagi, H Mizuno, M Aoki, H Wada and S Hitomi
Department of Thoracic Surgery, Kyoto University, Japan.

Postpneumonectomy fistula is one of the most serious complications in general thoracic surgery and remains difficult to manage. From 1984 to 1991, we successfully used pedicled omentum for the treatment of postpneumonectomy bronchopleural fistulas (omentoplasty) in five patients, four of whom had thoracic empyema. For bronchopleural fistulas without early postoperative infection, single-stage closure was performed which was then covered with pedicled omentum. Omentoplasty was performed successfully in patients with thoracic empyema, after open or closed drainage. Open thoracotomy was useful when closed drainage was ineffective. Even after open thoracotomy, closure of the wound was achieved. All five patients could be discharged. Omentoplasty was useful in the therapy of postpneumonectomy bronchopleural fistula even in the presence of thoracic empyema.


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Copyright © 1994 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.