Abstract
Bronchopleural fistulas are a severe complication occurring mostly after central resections. Nearly all cases are observed following pneumonectomies. Fistulas were observed in 3.7% of all pulmonary resections. In most cases the underlying disease is bronchial carcinoma. The most elegant and easiest way of closing a fistula is endoscopic sealing. Fistulas smaller than 3 mm can be closed with fibrin sealant alone. Using this technique the endoscopic operation must be repeated at least twice. Fistulas larger than 3 mm can be closed only with a combination of specially prepared spongiosa and fibrin sealant. We have used this technique over the past 10 years in 33 patients. About 25% of the fistulas were treated successfully.
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References
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© 1995 Springer-Verlag Berlin Heidelberg
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Pridun, N., Hauck, H., Hollaus, P. (1995). Bronchopleural Fistulas: Management of Fistulas with Specially Prepared Spongiosa in Combination with Fibrin Sealant. In: Schlag, G., Wolner, E., Eckersberger, F. (eds) Fibrin Sealing in Surgical and Nonsurgical Fields. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79227-4_26
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DOI: https://doi.org/10.1007/978-3-642-79227-4_26
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-58381-3
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