How do you close a Bronchopleural fistula?

How do you close a Bronchopleural fistula?

Direct surgical repair of chronic bronchopleural fistula may be achieved in most patients after adequate pleural drainage by suture closure and aggressive transposition of vascularized pedicle flaps. Omentum is particularly effective in buttressing the closure of bronchopleural fistulas.

What causes BPF?

BPF may result from a lung neoplasm, necrotizing pneumonia, empyema, blunt and penetrating lung injuries, and a complication of surgical procedures. Lung resection is the most common cause of BPF, and this chapter will focus more on this topic.

Can a chest tube cause a Bronchopleural fistula?

Bronchopleural fistula (BPF) is a sinus tract between the bronchus and the pleural space that may result from a necrotizing pneumonia/empyema (anaerobic, pyogenic, tuberculous, or fungal), lung neoplasms, and blunt and penetrating lung injuries or may occur as a complication of procedures such as lung biopsy, chest …

What is Bronchopleural?

A bronchopleural fistula is an abnormal passageway (a sinus tract) that develops between the large airways in the lungs (the bronchi) and the space between the membranes that line the lungs (the pleural cavity).

What is a Thoracoplasty procedure?

Thoracoplasty is a surgical procedure that allows the. reduction of the thoracic cavity by removing the ribs. It was originally conceived to collapse cavities of lungs af- fected by tuberculosis and gained worldwide acceptance in such a setting.

What does Bronchopleural mean?

Medical Definition of bronchopleural : joining a bronchus and the pleural cavity a bronchopleural fistula.

What anesthesia is used for bronchoscopy?

Propofol. It is a short acting anaesthetic agent used in bronchoscopy for moderate sedation. It has a rapid onset of action and rapid recovery.

What is the prognosis of bronchopleural fistula?

The overall survival is approximately 50%, mostly dependent on the prognosis of the underlying disease. A bronchopleural fistula is caused by a connection between the pleural space and the consolidated lung; it can complicate either an empyema or a lung abscess.

How does A bronchopleural fistula cause pyopneumothorax?

The bronchopleural fistula causes a pyopneumothorax (i.e., air-fluid level in the pleural space), so that, on drainage of an empyema, not only pus but also air comes out through the chest drain. A bronchopleural fistula will not seal unless infection is controlled.

What is the incidence of pulmonary fistula (BPF) after pulmonary resection?

After pulmonary resection, BPFs can be a life-threatening condition. The incidence has been reported from 1.5 to 28% after pulmonary resection. Bronchoscopy in the management of bronchopleural fistula. The incidence, etiology and prevention of postresectional bronchopleural fistula.

What are the symptoms of a fistula in the lung?

When symptoms are present, they can be easily dismissed as they are symptoms which may be expected following lung infections and surgery, such as a persistent cough (with production of a clear to pink, frothy fluid when a fistula occurs within 2 weeks of surgery and often grossly pus-like later on), coughing up blood, or shortness of breath.