Paper Information

Title: 

PROPHYLACTIC BRONCHIAL STUMP COVERAGE IN PREVENTION OF BRONCHOPLEURAL FISTULA

Type: SPEECH
Author(s): SADRIZADEH A.,GOLMOHAMMADI RAHIM
 
 
 
Name of Seminar: IRANIAN CONGRESS OF PHYSIOLOGY AND PHARMACOLOGY
Type of Seminar:  CONGRESS
Sponsor:  PHYSIOLOGY AND PHARMACOLOGY SOCIETY, MASHHAD UNIVERSITY OF MEDICAL SCIENCE
Date:  2007Volume 18
 
 
Abstract: 

Background: Bronchopleural fistula (BPF) after Pneumonectomy occurred in 1-4% of patients and to the lesser degree after lobectomy which can be associated with high morbidity and mortality. Bronchial stump coverage can reduce this complication especially in patients who are at risk.
Bjective The role of bronchial stump coverage with autologus tissue flaps in preventing bronchopleural fistula (BPF) after major pulmonary resections in patients without any accepted risk factors for developing BPF.
Methods: Eighty patients who were planned to undergo pneumonectomy or lobectomy at the Valiasr hospital thoracic surgery ward from September 2001to mar 2004 and didn't have any known accepted risk factors for developing BPF were selected and randomly assigned in two equal groups. Simple closure of bronchial stump versus bronchial stump closure and coverage with supportive autologus tissue flaps.
Results: Bronchopleural fistula was occurred in two patients of simple closure group (one after lobectomy and the other after pneumonectomy) that were resolved without any surgical manipulation. There was no significant difference in BPF between two groups (chi-square p=0.4) Also there were no further complications occurring in these groups and there were no significant difference between hospital stay in these groups. (Independent samples t-test p=0.4).
Conclusions: Bronchial stump coverage had no benefits in preventing BPF in patients who hadn't any accepted risk factors for developing BPF after pulmonary resections.

 
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