Prevention of bronchial fistulas after pneumonectomies for selected cavitary drug resistant lung tuberculosis.

ABSTRACT:

Background

The World Health Organization guidelines for management drug resistant tuberculosis include surgery as an additional method in selected cases. Pneumonectomies have higher risk of morbidity such as bronchial fistulas which may be prevented by bronchial stump covering. We compare two methods of bronchial stump reinforcement.

Methods and materials

A retrospective single center follow-up study was done in 52 patients who underwent pneumonectomy for drug resistant pulmonary tuberculosis. Between 2000 and 2017 we performed pneumonectomies with pericardial fat reinforcement of bronchial stump in group 1 (n = 42), and between 2017 and 2021 in group 2 with pedicled muscle flap reinforcement group 2 (n = 10).

Results

Bronchial fistulas occurred in 17/42

SUBMITTER: Bazhenov AV 

PROVIDER: S-EPMC10097893 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature