Protection and revascularization of bronchial anastomoses by the intercostal pedicle flap

Rendina, Erino Angelo; Venuta, Federico; Ricci, Paolo F.; Fadda, Gian Franco; Bognolo, Diego A.; Ricci, C.; Rossi, Plinio

doi:10.1016/s0022-5223(94)70045-1

Cited by 77 publications

(44 citation statements)

References 11 publications

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“…[9][10][11][12][13][14] We therefore introduced the routine procedure of covering the bronchial anastomosis with vital tissue such as pedicled thymus flaps, muscle flap, or pericardial flaps in patients after neoadjuvant treatment including radiotherapy to protect the anastomosis. 15,16 Thirty-day mortality in these patients was not increased compared with the overall 30-day mortality (1%). Comparison of patients with or without neoadjuvant treatment was not statistically significant.…”

Section: Discussionmentioning

confidence: 71%

A new classification of bronchial anastomosis after sleeve lobectomy

Ludwig

Stoelben

2012

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 71%

A new classification of bronchial anastomosis after sleeve lobectomy

Ludwig

Stoelben

2012

The Journal of Thoracic and Cardiovascular Surgery

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“…As far as pericardium is concerned, in the current literature, the use of pericardial fat or pericardium itself is described for bronchial stump coverage during pneumonectomy to prevent the development of fistula and very seldom as the separate method of late PBF management . Frequent insufficiencies as regards the length, width, consistency, vascularisation and the risk for pericarditis are mentioned among the drawbacks of pericardial flaps . However, these remarks are related to flaps such as pericardial fat and pleural but not to pericardial flaps.…”

Section: Discussionmentioning

confidence: 99%

Repair of postpneumonectomy bronchopleural fistula using pedicled pericardial flap supported by fibrin glue

Jabłoński

Brocki

Klejszmit

et al. 2013

International Wound Journal

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Effective closure of the postpneumonectomy bronchopleural fistula (PBF) with the use of different techniques still remains a challenge for thoracic surgeons. The aim of this study was to evaluate the efficacy of modified method of PBF closure using pedicled pericardial flap (PPF) supported by fibrin glue (FG). The efficacy of the late PBF closure with the use of two surgical methods was compared. In 10 patients, the edges of the PBF were covered with FG and PPF. In the second group of nine patients, myoplasty was used to close the bronchial fistula. Postsurgical follow-up was for 1 year. In the first group, the healing of the fistula was achieved in 100% of the cases, whereas in the second, myoplasty group, healing was achieved in only 66·67% of the cases. The number of complications was similar in both groups. Pericardial flap supported by fibrin glue can be an effective method adjunctive to the treatment of PBF in selected patients.

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“…On the other hand, the intercostal, sternocleidomastoid, and other muscles wrapping have already been used as a facilitating method of vascularization for ischemic airway (28–31). Rendina et al.…”

Section: Treatment Optionsmentioning

confidence: 99%

“…Rendina et al. have demonstrated that a fine vascular network develops around the anastomosis early in the post‐operative period by means of the arteriographic study of the intercostal artery (31). Pedicled muscle flaps based on intercostal artery and vein are flexible and easy to transpose around the intrathoracic airway.…”

Section: Treatment Optionsmentioning

confidence: 99%

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Revascularization of trachea in lung and tracheal transplantation

Nakanishi

2007

Clinical Transplantation

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Ischemia is the primary risk factor for airway complications in double lung transplantation using tracheal anastomosis and in tracheal transplantation. Many treatment options as to revascularization for the trachea were herein described and reviewed. They include direct revascularization (using a conduit such as artery or vein), revascularization with tissue wrapping (using omentum, muscle, internal thoracic artery pedicle, pleura, or pericardial fat pad), and with drug administration (using corticosteroid hormone, prostaglandin, or angiogenic factor). As there are few organized reports including new information on revascularization for the trachea these days, this review article would help thoracic surgeons who get engaged transplantation.

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Protection and revascularization of bronchial anastomoses by the intercostal pedicle flap

Cited by 77 publications

References 11 publications

A new classification of bronchial anastomosis after sleeve lobectomy

A new classification of bronchial anastomosis after sleeve lobectomy

Repair of postpneumonectomy bronchopleural fistula using pedicled pericardial flap supported by fibrin glue

Revascularization of trachea in lung and tracheal transplantation

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