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KMID : 0364019920250080819
Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 8 p.819 ~ p.825
Surgical Treatment of the Postoperativ eEmpyema with Ometal Pedicle Flap(OPF) -Report of 3 Cases-
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Abstract
The omental pedicle flap(OPF) has been used for management of complicated problems in various fields of cardiovascular surgery.
Its unique properties of enhancing neovascularity, relieving lymphedema, providing fibroblasts to promote healing, soft tissue coverage, & functioning in the face of existing infection make it ideal in managing many of the more complicated
problems
facing the thoracic surgeon.
We have used omental pedicle for colosing of the bronchial fistula & esophageal fistula with filling the adjoining cavity after pneumonectomy.
The successful closure of the bronchial stump with OPF were obtained in 2 cases, but one case was failed who was suffered form the esophageal fistula. The primary operation in each cases were right pleuropneumonctomy for tuberculous empyema in 2
cases &
left pneumonectomy for chromic empyema in 1 case.
We believe that the OPF is effective for closing fistula due to postoperative empyema & plombage procedures for dead space of infected thoracic cavity.
KEYWORD
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