Ruiz López Eloísa, Cerezo Madueño Francisco, González Garcia Francisco Javier, Muñoz Fos Anna, Poveda Chávez David, Álvarez Kindelán Antonio, Salvatierra Velázquez Ángel, Moreno Casado Paula
Thoracic Surgery and Lung Transplantation Unit, University Hospital Reina Sofia, Cordoba, Spain.
Thoracic Surgery and Lung Transplantation Unit, University Hospital Reina Sofia, Cordoba, Spain.
Transplant Proc. 2020 Mar;52(2):584-586. doi: 10.1016/j.transproceed.2019.11.035. Epub 2020 Feb 7.
Post-thoracotomy wound dehiscence after a lung transplant carries with it morbidity in the postoperative period. While this complication has been widely reported in the literature after a clamshell incision, the thoracotomy dehiscence's surgical solution has not received much emphasis. We present an original technical solution to deal with this complication, performed successfully in a 62-year-old woman diagnosed as having idiopathic pulmonary hemosiderosis after a single lung transplant. This surgical treatment consists of necrotic rib tissue removal, pleural effusion drainage, pulmonary adhesion removal, and chest wall defect reparation with bioabsorbable mesh. This operative technique results safe and effective for thoracotomy dehiscence reparation.
肺移植术后开胸伤口裂开在术后会带来发病风险。虽然这种并发症在文献中已有关于蛤壳状切口术后的广泛报道，但开胸伤口裂开的手术解决方案并未受到太多重视。我们提出了一种处理该并发症的原创技术方案，并成功应用于一名62岁的女性患者，该患者在单肺移植后被诊断为特发性肺含铁血黄素沉着症。这种手术治疗包括切除坏死的肋骨组织、引流胸腔积液、解除肺粘连以及用可生物吸收网片修复胸壁缺损。该手术技术对于开胸伤口裂开的修复是安全有效的。
