Bronchial Stump Insufficiency and Its Treatment

  • L. Lampl

Abstract

There is no real difference between stapling and suturing of the bronchial stump. In our experience it is suitable to cover the bronchial stump; we prefer pericardial flap. Repeated personal postoperative bronchoscopic control is recommended. Early emptying and irrigation of the postpneumonectomy space should be carried out in cases of suspected infection. Surgery is the first choice in the immediately postoperative period, perhaps with the exception of small BSI. For early- and late-type BSI fibrin glue (also in combination with spongy bone [8]) is an excellent therapeutic tool, probably the first choice. Surgery also seems necessary for total dehiscencies after pneumonectomy.

Keywords

Pneumonia 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1995

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  • L. Lampl

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