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Postoperative Bronchial Stump Fistula: Treatment with Fibrin Glue and Spongy Bone Graft

  • H. Wertzel
  • L. Swoboda
  • R. Bonnet
  • J. Hasse

Abstract

In spite of modern suture material and stapler technique, postoperative bronchial stump fistulas are still serious complications. Besides rethoracotomy, which carries a high risk in these seriously ill patients, sealing of the fistula by endoscopic techniques has developed as a new method of treatment. Retrospectively we analyzed the data of all patients with a fistula from January 1989 to April 1992. One fistula following lobectomy was permanently closed by a single application of fibrin glue. Two early fistulas after pneumonectomy were immediately closed by rethoracotomy. Of nine fistulas (or stump necroses) seven could be cured by fibrin application alone or in combination with spongy bone implantation. Two patients were treated by rethoracotomy.

All patients with fistulas following pneumonectomies had advanced-stage tumors.

Keywords

Fibrin Glue Bronchial Artery Mucosal Blood Flow Spongy Bone International Trend 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • H. Wertzel
  • L. Swoboda
  • R. Bonnet
  • J. Hasse

There are no affiliations available

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