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Revista Cubana de Cirugía
On-line version ISSN 1561-2945
Abstract
FUENTES VALDES, Edelberto; CORONA MANCEBO, Sixto B; FERRA BETANCOURT, Albio R and MARTIN GONZALEZ, Miguel A. Myoplasty in the treatment of bronchopleural fistulas. Rev Cubana Cir [online]. 2004, vol.43, n.2, pp. 0-0. ISSN 1561-2945.
The postoperative bronchopleural fistulas associated or not with empyema are an important source of morbimortality in patients that have suffered from pulmonary resections, mainly when malignant diseases are treated. The purpose of this article is to review the results obtained in the treatment of six patients from 1997 to 2003. The previous operation was right pneumonectomy in five patients and upper right lobectomy in one. The causes of the operation were traumatism, benign and malignant tumors and tuberculosis. In the six patients, it was used myoplasty with the wide dorsal for the obliteration of the remaining pleural cavity. The complementary techniques comprised the use of pedicled flaps of intercostal muscle (3 patients), myoplasty with the pectoralis major and partial thoracoplasty in a patient, each one. The most frequent complication was the aerial leakage maintained for more than ten days. All the patients kept the bronchial closure a year after the operation
Keywords : Myoplasty; bronchopleural fistula.