Pediculated Intercostal Muscle Flaps in Bronchiactasis Resectional Surgery for Bronchial Stump Reinforcement
- Resource Type
- Authors
- Ahmed Raza; Farhan Ahmed Majeed; Kamran Rahim; Tashfeen Imtiaz
- Source
- Journal of the College of Physicians and Surgeons--Pakistan : JCPSP. 30(2)
- Subject
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Bronchopleural fistula
Bronchi
Intercostal Muscles
Surgical Flaps
Pulmonary function testing
Pneumonectomy
medicine
Humans
Retrospective Studies
Bronchiectasis
business.industry
General Medicine
medicine.disease
Surgery
medicine.anatomical_structure
Thoracotomy
Neuralgia
Female
Bronchial Fistula
Complication
business
Intercostal muscle
- Language
- ISSN
- 1681-7168
OBJECTIVE To determine the outcome of muscle flap to cover the bronchial stump in the resectional surgery for bronchiectasis for prevention of bronchopleural fistula. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Combined Military Hospitals of Quetta, Lahore, and Rawalpindi from January 2006 to August 2017. METHODOLOGY Patients with localised bronchiectatic changes were included. Patients with carcinoma and without flap resection were excluded. Resectional surgery was performed through posterolateral thoracotomy approach, under general anesthesia with one lung ventilation. Pediculated or bipediculated intercostal muscle flap (ICM) was used to reinforce the bronchial stump. Pediculated ICM flaps were utilised for reinforcement of bronchial stump and bipediculated flaps were used over lesser. RESULTS Three hundred and ninety-eight cases of bronchiectasis with average age of patients 38.5 ±19.8 years and male to female ratio of 2:1 were included. Bronchiectasis was unilateral in 377 cases. Tuberculous was found in 278 of the cases. Thirty-five had poor lung function tests (FEV1