medigraphic.com

2014, Number 2

Revista Cubana de Cirugía 2014; 53 (2)

Neumostomy with a balloon catheter in supurative lung collections

Mederos CON, Barrera OJC, Castellanos GJA, Romero DCA, Mederos TOL

Language: Spanish
References: 18
Page: 145-155
PDF size: 211.91 Kb.


ABSTRACT

Introduction: with the advent of the antibiotic therapy, external drainage ceased to be performed in lung abscess patients for whom the pulmonary resection is the choice. In the last few years, pneumostomy has reemerged due to the need of giving assistance to patients with remarkable physically deterioration that hinders resective surgery.
Objectives: to characterize patients with pulmonary suppuration and surgically treated by means of external percutaneous drainage with balloon catheter pneumostomy (Monaldi method) using local anesthesia.
Methods: retrospective, descriptive and longitudinal study of eight patients, who underwent Monaldi method-based surgery, conducted from 1995 through 2012 at “Manuel Fajardo” university hospital. Three branch twenty-four F unit balloon rubber catheters were used in all these cases.
Results: out of the eight, four had been diagnosed with lung abscess and the other four had large septic emphysematous sacs. The infected collection was eliminated in all these patients in less than 2 weeks with no complication and no surgical death.
Conclusion: the percutaneous drainage with local anesthesia using balloon catheter as an instrument was adequate and useful in the treatment of septic lung collections in patients with very poor physical condition. This method manages to eliminate the pulmonary lesion and is good for both pulmonary abscesses and infected emphysematous sacs.


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