https://www.annalsthoracicsurgery.org/article/S0003-4975(09)01925-0/pdf

Management of Alveolar Air Leaks After Pulmonary Resection

Postoperative care of thoracic surgical patients is a very important part of patient recovery and can be very challenging. Pulmonary complications are responsible for significant numbers of deaths and morbidity of patients undergoing thoracotomy. Thoracic surgery impairs postop‐ erative respiratory function resulting in a relatively high risk of developing postoperative pulmonary complications. The incidence (19-59%) is much higher than following upper (16-17%) or lower abdominal surgery (0-5%). The overall incidence of complications following thoracic surgery varies from 15% to 37.5%, primarily due to the type of pulmonary complica‐ tions studied, the clinical criteria used in the definition and the type of surgery included. The clinical and potential economic impact of these complications is marked, with significantly longer hospital and high Dependency unit stay, frequency of ICU admission and number of deaths.

/pdf/postoperative-care-and-complications-after-thoracic-surgery-1boqmdrr0v.pdf

Postoperative Care and Complications After Thoracic Surgery

Postoperative strategies to treat permanent air leaks.

Evidence-Based for Management Air Leaks

Preface. Air leak after pulmonary resection.

A case of sustained lung fistula after lung surgery is reported here. This case of a sustained pulmonary fistula was diagnosed by sustained air leak through the chest drain and a positive culture of the drainage fluid. The third re-operation was performed successfully by omentopexy via median sternotomy. Careful postoperative observation with chest radiography, bronchial fiberscopy, and determining whether infection is present in the drainage fluid are important for precise diagnosis and therapy for complications following pulmonary lobectomy.

Omentopexy for empyema due to lung fistula following lobectomy. A case report.

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Omentopexy for empyema due to lung fistula following lobectomy. A case report.