2016
DOI: 10.1590/0100-69912016004007
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Bronchial fistula closure with negative pressure wound therapy: a feasible and cost-effective treatment

Abstract: Treatment of bronchial fistula (BF) after pulmonary lobectomy is a challenge. Often, patients require long hospital stay, have recurrent empyema and pneumonia, are susceptible to sepsis, often need broad-spectrum antibiotics, as well as various surgical approaches. With the advent and growing evidence of the benefits of negative pressure therapy (NPT), its use in some patients with BF has been reported with encouraging results concerning its feasibility and cost-effectiveness. The aim of this study was to demo… Show more

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Cited by 5 publications
(5 citation statements)
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“…It is well known that AOE is associated with bacterial proliferation in the ear canal . As the suction system continuously removes exudate, it is speculated that the NPWT may promote bacterial clearance and control its proliferation in the wound bed . Hypothetically, the degree of infection would be diminished by NPWT, but there are no prospective randomised controlled trials confirming these data .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…It is well known that AOE is associated with bacterial proliferation in the ear canal . As the suction system continuously removes exudate, it is speculated that the NPWT may promote bacterial clearance and control its proliferation in the wound bed . Hypothetically, the degree of infection would be diminished by NPWT, but there are no prospective randomised controlled trials confirming these data .…”
Section: Discussionmentioning
confidence: 99%
“…16,17 As the suction system continuously removes exudate, it is speculated that the NPWT may promote bacterial clearance and control its proliferation in the wound bed. [19][20][21] Hypothetically, the degree of infection would be diminished by NPWT, but there are no prospective randomised controlled trials confirming these data. 6 The role of NPWT in microorganism populations is still controversial, and few studies even associate it with an elevation in bacterial count.…”
Section: Discussionmentioning
confidence: 99%
“…Essa proteção pode ser realizada por um curativo não aderente ou por uma película multiperfurada. Além disso, há relatos da aplicação da TPN como adjuvante no fechamento de fístula brônquica 46 .…”
Section: Enxertos De Peleunclassified
“…A fístula brônquica pode surgir como complicação de doenças infecciosas pulmonares, após lesões traumáticas torácicas, consequente a procedimentos invasivos do tórax e mais comumente como complicação de procedimentos cirúrgicos pulmonares (7). Os estudos demonstram incidência variável desta complicação secundária a cirurgias torácicas, ocorrendo em frequência variando de 4,5% a 20% dos pacientes após pneumectomia e em cerca de 1% após lobectomia.…”
Section: Principais Complicações Traqueais Crônicas Após a Traqueostomiaunclassified
“…Os estudos demonstram incidência variável desta complicação secundária a cirurgias torácicas, ocorrendo em frequência variando de 4,5% a 20% dos pacientes após pneumectomia e em cerca de 1% após lobectomia. As taxas de mortalidade variam entre 18% e 67% (7). O paciente com essa condição geralmente demanda um longo período de internação, tornando-o frequentemente colonizado por germes hospitalares, apresenta recidivas de empiema, possível evolução para sepse, muitas vezes necessita de antibioticoterapia de amplo espectro, bem como de várias abordagens cirúrgicas.…”
Section: Principais Complicações Traqueais Crônicas Após a Traqueostomiaunclassified