Surgical Prevention Technique of the Primary Bronchus Stump Insufficiency Using a Fibrin-collagenic Plate
The aim of the study is to evaluate the effectiveness and practical significance of the “TachoComb” fibrin-collagenic plate use. It concerns prophylaxis of a primary bronchus stump insufficiency in the pneumonectomies.
Materials and Methods. 899 pneumonectomies included into the investigation have been made since 1985 in N. Novgorod city clinical hospital No5. A ″TachoComb″ plate is used in 208 patients in a primary bronchus stump forming. There have been regarded 2 control groups: 623 patients with pneumonectomy according to a generally accepted method and 68 patients, in which a dura mater has been used during a bronchus stump protection.
Results. A “TachoComb” technique has allowed to decrease the risk factor influence on a primary bronchus stump insufficiency development. This has made it possible to decrease the suture insufficiency general rate up to 3.4%. A number of that complication 3.8 times has decreased in suppurative lung diseases. The results are confirmed by the histological investigation data. The simplicity of use and a fibrin-collagenic plate safety have considered to recommending it to use in a wide clinical practice.
