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

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Book cover Fibrin Sealing in Surgical and Nonsurgical Fields

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.

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References

  1. Asamura H, Naruke T, Tsuchiya R, Goya T, Kondo H, Suemasu K (1992) Bronchopleural fistulas associated with lung cancer operations. J Thorac Cardiovasc Surg 104: 1456–1464

    PubMed  CAS  Google Scholar 

  2. Cauldwell EW, Siekert RG, Lininger RE, Anson BJ (1948) The bronchial arteries. An anatomic study of 150 human cadavers. Surg Gynecol Obstet 86: 395–412

    PubMed  CAS  Google Scholar 

  3. Eng J, Sabanathan S (1990) Successful closure of bronchopleural fistula with adhesive tissue. Scand J Thor Cardiovasc Surg 24: 157–159

    Article  CAS  Google Scholar 

  4. Hakim M, Milstein BB (1985) Role of automatic staplers in the aetiology of bronchopleural fistula. Thorax 40: 27–31

    Article  PubMed  CAS  Google Scholar 

  5. Hartmann W, Rausch V (1977) A new therapeutic application of the fiberoptic bronchoscope. Chest 17: 237

    Article  Google Scholar 

  6. Hasse J (1986) Surgical treatment of bronchial carcinoma. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  7. Hoier-Madsen K, Schulze S, Pederson VM, Halkier E (1984) Management of bronchopleural fistula following pneumonectomy. Scand J Thor Cardiovasc Surg 18: 263–266

    Article  CAS  Google Scholar 

  8. Inni K, Wada H, Yokomise H, Lee M, Yamazaki F, Aoki M, Hitomi S (1990) Evaluation of a bronchial anastomosis by laser Doppler velocimetry. J Thorac Cardiovasc Surg 99: 614–619

    Google Scholar 

  9. McManigle JE, Gardner MAJ, Fletcher GL, Tenholder MF (1990) Bronchoscopy in the management of bronchopleural fistula. Chest 97 (5): 1235–1238

    Article  PubMed  CAS  Google Scholar 

  10. McMillan IKR (1987) Bronchopleural fistula: treatment by space reduction. In: Grillo HC, Eschapasse H (eds) International trends in general thoracic surgery. Saunders, Philadelphia, p 440 (Mayor challenges, vol 2 )

    Google Scholar 

  11. Moritz E, Strahberger E, Buchberger R (1982) Mechanische Nahtgeräte in der Lungenchirurgie. Wien Klin Wochenschr 94: 189–192

    PubMed  CAS  Google Scholar 

  12. Opie JC, Vaughn CC, Comp RA, Radford JM, Lowell P, Finch C (1992) Endo-bronchial closure of a postpneumonectomy bronchopleural fistula. Ann Thorac Surg 53: 686–688

    Article  PubMed  CAS  Google Scholar 

  13. Pairolero PC, Arnold PG (1987) Bronchopleural fistula: management with muscle transposition. In: Grillo HC, Eschapasse H (eds) International trends in general thoracic surgery. Saunders, Philadelphia, p 423 (Mayor challenges, vol 2 )

    Google Scholar 

  14. Perelman MI, Rymko LP, Ambatiello GP (1987) Bronchopleural fistula: surgery after pneumonectomy. In: Grillo HC, Eschapasse H (eds) International trends in general thoracic surgery. Saunders, Philadelphia, p 407 (Mayor challenges, vol 2 )

    Google Scholar 

  15. Pridun N (1985) Eine neue Technik zum Verschluß bronchopleuraler Fisteln. Acta Chir Austr [Suppl] 65: 2–11

    Google Scholar 

  16. Ratliff JL, Hill J, Tucker H, Fallat R (1977) Endobronchial control of bronchopleural fistula. Chest 71: 98–99

    Article  PubMed  CAS  Google Scholar 

  17. Takaro T (1987) Bronchopleural fistula: use of staplers in bronchial closure. In: Grillo HC, Eschapasse H (eds) International trends in general thoracic surgery. Saunders, Philadelphia, p 452 (Mayor challenges, vol 2 )

    Google Scholar 

  18. Vanetti A, Bazelly B (1987) Use of staplers in bronchial closure. Discussion. In: Grillo HC, Eschapasse H (eds) International trends in general thoracic surgery. Saunders, Philadelphia, p 458 (Mayor challenges, vol 2 )

    Google Scholar 

  19. Virkkula L (1987) Bronchopleural fistula: omental pedicle for treatment. In: Grillo HC, Eschapasse H (eds) International trends in general thoracic surgery. Saunders, Philadelphia, p 435 (Mayor challenges, vol 2 )

    Google Scholar 

  20. Waclawiczek HW (1988) Der endoskopische Verschluß infizierter Bronchusstumpffisteln nach Lungenresektion mit der Fibrinklebung. In: Manegold BC, Jung M (eds) Fibrinklebung in der Endoskopie. Springer, Heidelberg New York, p 17

    Google Scholar 

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Authors
  1. H. Wertzel
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  2. L. Swoboda
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  3. R. Bonnet
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  4. J. Hasse
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Editor information

Editors and Affiliations

  1. Ludwig-Boltzmann-Institut für experimentelle und klinische Traumatologie, Donaueschingenstraße 13, 1200, Wien, Austria

    Günther Schlag

  2. II. Universitätsklinik für Chirurgie, Spitalgasse 23, 1090, Wien, Austria

    Ernst Wolner

  3. Abteilung für Herz-Thoraxchirurgie, II. Universitätsklinik für Chirurgie, Währinger Gürtel 18-20, 1090, Wien, Austria

    Franz Eckersberger

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© 1995 Springer-Verlag Berlin Heidelberg

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Wertzel, H., Swoboda, L., Bonnet, R., Hasse, J. (1995). Postoperative Bronchial Stump Fistula: Treatment with Fibrin Glue and Spongy Bone Graft. In: Schlag, G., Wolner, E., Eckersberger, F. (eds) Fibrin Sealing in Surgical and Nonsurgical Fields. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79227-4_29

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  • DOI: https://doi.org/10.1007/978-3-642-79227-4_29

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-58381-3

  • Online ISBN: 978-3-642-79227-4

  • eBook Packages: Springer Book Archive

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