scholarly journals Using Polypropylene for Bronchial Stump Closure After Pulmonary Resections

2017 ◽  
Vol 54 (3) ◽  
pp. 520-522
Author(s):  
Bogdan Andrei Suciu ◽  
Ioana Halmaciu ◽  
Vasile Bud ◽  
Constantin Copotoiu ◽  
Decebal Romulus Petru Fodor ◽  
...  
Keyword(s):  
Bronchial Stump ◽  
Severe Condition ◽  
Innovative Method ◽  
Innovative Technique ◽  
Stump Closure ◽  
The One

The bronchial stump fistula shown by patients undergoing adjusted pulmonary resections is an extremely severe condition affecting the prognosis of this patients. Within our study, we have used an innovative technique of closing the bronchial stump for 38 patients undergoing adjusted pulmonary resections. The suture of the bronchial stump was made through an innovative method, by practicing the suture with isolated 2.0 Prolene wires armed with patches of Polypropylene. The incidence of the bronchial stump fistula for the observed lot was of 5.26% (2 cases), smaller than the one reported in the specialty literature. In this respect, we consider that the use of Polypropylene in the techniques of closing the bronchial blunt can be beneficial.

scholarly journals eComment. Bronchial stump closure techniques: experimental and histological diversity

2014 ◽  
Vol 18 (4) ◽  
pp. 493-494
Author(s):  
E. Spartalis ◽  
A. Athanasiou ◽  
V. Kaminiotis ◽  
P. Tomos
Keyword(s):  
Bronchial Stump ◽  
Stump Closure

scholarly journals An Improved Method of Bronchial Stump Closure for Prevention of Bronchopleural Fistula in Pulmonary Resection.

1992 ◽  
Vol 168 (3) ◽  
pp. 507-513 ◽  
Author(s):  
MASAMI SATO ◽  
YASUKI SAITO ◽  
NORIYOSHI NAGAMOTO ◽  
CHIAKI ENDO ◽  
KATUO USUDA ◽  
...  
Keyword(s):  
Pulmonary Resection ◽  
Bronchopleural Fistula ◽  
Improved Method ◽  
Bronchial Stump ◽  
Stump Closure

scholarly journals Bronchial mucosal ablation for bronchial stump closure in right pneumonectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kimitaka Makidono ◽  
Yoshihiro Miyata ◽  
Takuhiro Ikeda ◽  
Yasuhiro Tsutani ◽  
Yuichiro Kai ◽  
...  
Keyword(s):  
Malignant Pleural Mesothelioma ◽  
Main Bronchus ◽  
Smooth Muscle Actin ◽  
Inflammatory Cells ◽  
Canine Model ◽  
Pleural Mesothelioma ◽  
Bronchial Stump ◽  
Bronchial Fistula ◽  
Absorbable Sutures ◽  
Stump Closure

Abstract Background Bronchial fistula is a severe complication of pneumonectomy with a high mortality rate. We previously reported a technique for bronchial closure to prevent bronchial fistula in a canine model. We described that mucosal ablation could result in primary wound healing and involve mucosal tight adhesions histologically. In this paper, the pathologic findings of one patient, who underwent autopsy 4 years after surgery, were reviewed. Case presentation A 70-year-old Japanese man was diagnosed with malignant pleural mesothelioma and underwent right extra-pleural pneumonectomy. The right main bronchus was cut using a scalpel. When closing the bronchial stump, the bronchial mucosa was ablated by electric cautery and sutured manually using 3-0 absorbable sutures. The bronchial fistula was not found after pneumonectomy. Four years after surgery, the patient died of recurrent malignant pleural mesothelioma and underwent autopsy. Macroscopic evaluation showed tight adhesions and white scars on the bronchial stump. Microscopic findings showed few inflammatory cells and α-smooth muscle actin (α-SMA)-positive cells. Conclusions The results from this case suggested that bronchial mucosal ablation leads to robust agglutination of bronchial stump over years. This technique is not only simple but also reliable to prevent bronchial fistula.

Transcervical Mediastinoscopic Closure of Left-Sided Postpneumonectomy Bronchial Stump Fistula

2019 ◽  
Vol 68 (06) ◽  
pp. 516-519
Author(s):  
Cristian Paleru ◽  
Ioan Cordoş ◽  
Olga Dănăilă ◽  
Ciprian Bolca
Keyword(s):  
Lung Cancer ◽  
Cancer Patients ◽  
Metastatic Cancer ◽  
The Other ◽  
Disease Group ◽  
Bronchial Stump ◽  
Transcervical Approach ◽  
Stump Closure ◽  
Left Pneumonectomy

Introduction This article presents a series of patients on which the transcervical approach was used to close a left-sided postpneumonectomy fistula. Materials and Methods The series comprises nine patients with a left pneumonectomy performed for a tuberculosis-related suppurative disease in five cases and for lung cancer in the remaining four. This procedure can be performed under certain conditions, the most important one being the length of the bronchial stump, which should be at least 1 cm, ideally 1.5 cm. The transcervical stump closure was successfully achieved in all patients, having been more technically demanding in cancer cases with previous lymphadenectomy. The postpneumonectomy infected cavity was subsequently treated. Results The follow-up continued for at least 1 year; one individual from the cancer patients group died from an uncontrolled sepsis during the postoperative period, another one died 17 months later from metastatic cancer and two of them are alive, with no signs of neoplastic or infectious relapse 15 and 37 months, respectively, after the cervical procedure. One patient from the suppurative disease group had a relapse of the fistula 2 months after surgery, requiring additional surgical procedures to deal with this issue; all the other patients are alive, with no signs of recurrence. Conclusions The transcervical approach is a very suitable maneuver in selected patients with a bronchial stump at least 1 cm long, ideally 1.5 cm.

scholarly journals Bronchial Stump Closure Techniques Following Pneumonectomy

1976 ◽  
Vol 184 (2) ◽  
pp. 205-211 ◽  
Author(s):  
RICHARD N. SCOTT ◽  
ROBERT P. FARACI ◽  
AUBREY HOUGH ◽  
PAUL B. CHRETIEN
Keyword(s):  
Bronchial Stump ◽  
Stump Closure

scholarly journals SUTURELESS BRONCHIAL STUMP CLOSURE

1965 ◽  
Vol 49 (2) ◽  
pp. 194-197 ◽  
Author(s):  
B.A. Glass ◽  
H.M. Albert
Keyword(s):  
Bronchial Stump ◽  
Stump Closure

scholarly journals Computer-Aided-Instruction (CAI) as an Innovative Method for Optimizing the Quality of Social Studies Lecturers in Nigerian Tertiary Institutions for Quality Teacher Education in Nigeria

2019 ◽  
Vol 11 (2) ◽  
pp. 41
Author(s):  
Mezieobi, Daniel Ibeawuchi ◽  
Onyeanusi, Obiageli C. ◽  
Chukwu, Peter N. ◽  
Chukwu, Chineyere Loveth
Keyword(s):  
Teacher Education ◽  
Social Studies ◽  
Sampling Technique ◽  
Cluster Sampling ◽  
Computer Aided Instruction ◽  
Tertiary Institutions ◽  
Innovative Method ◽  
Computer Aided ◽  
The One

This study focused on Computer-Aided-Instruction (CAI) as an innovative method for optimizing the quality of Social Studies lecturers in Nigerian tertiary institutions for quality teacher education in Nigeria. To achieve the purpose of this study, three research questions were posed to guide the study. The study adopted descriptive survey research design. The population of the study consisted of all the one hundred and sixty-two (162) Social studies education lecturers in public universities and colleges of education in South-East, Nigeria. A sample of 108 social studies lecturers was drawn for the study, using cluster sampling technique. Relevant data for the study were collected using a “Questionnaire on Effectiveness of CAI in Optimizing the Quality of Social Studies Lecturers in Nigerian Tertiary Institutions”. Data collected were analysed using mean and standard deviation. The findings of the study indicated that: many social studies lecturers are not acquainted with the requisite knowledge and skills for teaching social studies; a good number of social studies lecturers are not acquainted with CAI as an innovative trend for accessing information; and that CAI helps in optimizing the quality of social studies lecturers in Nigerian tertiary institutions. Following the findings of this study, conclusion was drawn and recommendations were made to include that professionally qualified social studies lecturers should be recruited to teach social studies in Nigerian tertiary institutions, social studies lecturers ought to update their computer competences among others.    

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