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Bronchopleural Fistula After Pneumonectomy: Risk Factors and Management, Focusing on Open-Window Thoracostomy  Antonio Mazzella, MD, Alessandro Pardolesi,

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Presentation on theme: "Bronchopleural Fistula After Pneumonectomy: Risk Factors and Management, Focusing on Open-Window Thoracostomy  Antonio Mazzella, MD, Alessandro Pardolesi,"— Presentation transcript:

1 Bronchopleural Fistula After Pneumonectomy: Risk Factors and Management, Focusing on Open-Window Thoracostomy  Antonio Mazzella, MD, Alessandro Pardolesi, MD, Patrick Maisonneuve, Francesco Petrella, MD, PhD, Domenico Galetta, MD, Roberto Gasparri, MD, Lorenzo Spaggiari, MD PhD  Seminars in Thoracic and Cardiovascular Surgery  Volume 30, Issue 1, Pages (March 2018) DOI: /j.semtcvs Copyright © 2017 Elsevier Inc. Terms and Conditions

2 Figure 1 Direct surgical repair of bronchial stump. Several separated threads were run through its wall. To avoid bronchial wall laceration, 2 absorbable PDS bands were used.11 Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

3 Figure 2 Management of post-pneumonectomy BPF: IEO algorithm.
Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

4 Figure 3 (A) Right open-window thoracostomy. (B) Packing by 0.5% povidone-iodine and normal saline-filled compresses. (C) CT scan showing right OWT and packing. (D) Closed OWT by myoplasty 14 months after first surgery. (E) OWT: H-shaped incision straddling the second and third ribs. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

5 Figure 4 Cumulative incidence of fistula after pneumonectomy and overall survival of patients after onset of pulmonary fistula. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

6 OWT: H-shaped incision straddling the second and third ribs.
Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

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