Journal of Chest Surgery
- Volume 25 Issue 8
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- Pages.819-825
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- 1992
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- 2765-1606(pISSN)
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- 2765-1614(eISSN)
Surgical Treatment of the Postoperative Empyema with Omental Pedicle Flap [OPF] - Report of 3 Cases -
유경성 대망 이식편을 이용한 농흉 치험 3례
- Hur, Y. (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
- Moon, J.H. (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
- Ahn, W.S. (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
- Kim, B.Y. (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
- Lee, J.H. (Department of Thoracic & cardiovascular Surgery, National Medical Center) ;
- Yu, H.S. (Department of Thoracic & cardiovascular Surgery, College of Medicine, KunKuk University)
- 허용 (국립의료원 흉부외과) ;
- 문준호 (국립의료원 흉부외과) ;
- 안욱수 (국립의료원 흉부외과) ;
- 김병일 (국립의료원 흉부외과) ;
- 이정호 (국립의료원 흉부외과) ;
- 유희성 (건국대학교 의과대학 흉부외과)
- Published : 1992.08.01
Abstract
The omental pedicle flap[OFF] 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, providing 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 R esophageal fistula with filling the adjoining cavity after pneumonectomy. The successful closure of the bronchial stump with OFF were obtained in 2 cases, but one case was failed who was suffered from the esophageal fistula. The primary operation in each cases were right pleuropneumonctomy for tuberculous empyema in 2 cases & left pneumonectomy for chronic empyema in 1 case, We believe that the OFF is effective for closing fistula due to postoperative empyema k plombage procedures for dead space of infected thoracic cavity.
Keywords