Simultaneous traumatic rupture of bilateral pulmonary hydatid cysts
| Autor: | Berkant Özpolat, Murat Sayin, Orhan Veli Doğan, Yusuf Dogan |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Echinococcosis Pulmonary Thoracic Injuries Bronchopleural fistula Plombage Wounds Nonpenetrating medicine Humans Respiratory function Fibrin glue GLUE Rupture Lung business.industry Accidents Traffic Pneumothorax respiratory system medicine.disease Surgery respiratory tract diseases Radiography medicine.anatomical_structure surgical procedures operative Sputum Honeycomb lung medicine.symptom business Cardiology and Cardiovascular Medicine |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 130(3):908-909 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/j.jtcvs.2005.03.028 |
| Popis: | chronic empyema is not established. Yamamoto and associates reported a case of Mycobacterium avium complex infection in a patient with a chronic empyema, which was treated successfully with pleuropneumonectomy. They stated that lung resection might be performed for the surgical treatment of M intracellulare infection with chronic empyema. Pleuropneumonectomy or lobectomy for chronic empyema, however, is very stressful. In our case, the M intracellulare infection was cleared from the sputum after thoracic fenestration, and therefore we performed a thoracoplasty with an intrathoracic muscle flap transposition. This surgical treatment without lung resection in cases not involving M intracellulare in the sputum is preferred because the procedure is less invasive, safer, and less stressful than surgical treatment with lung resection. In our case, we selected a thoracoplasty with an intrathoracic muscle flap transposition. The residual lung changed into a honeycomb lung, which was unable to expand. If the residual lung had the ability to expand, air plombage would have been a better option than thoracoplasty with respect to respiratory function. GRFG glue is a new biologic adhesive agent with a better sealing efficacy. GRFG glue has strong adhesive properties (almost 5 times that of fibrin glue). Several studies have reported the effectiveness of GRFG glue for the treatment of bronchial fistulas. Hasumi and colleagues reported the clinical experience of GRFG glue for acute empyema with bronchopleural fistula. GRFG glue is a useful agent for the treatment of bronchial fistulas. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|