pedicled omentum augmentation

Filling the thoracic cavity with a vascular pedicled omentum to treat chronic empyema and bronchopleural palsy, the effect is very good. The omentum is rich in blood circulation, strong in regenerative capacity, and has an absorption function. It is easy to adhere to surrounding tissues and form a wide collateral circulation, which can make the operation successful. Treatment of diseases: chronic empyema Indication The pedicled omentum-filled thoracic cavity is suitable for the treatment of various chronic empyema, even patients with poor constitution and unsuitable thoracoplasty, and empyema that is difficult to cure by other methods, such as chronic lung lesions on both sides. Empy chest. Contraindications Patients who have had abdominal surgery or have had peritonitis, because the adhesion of the greater omentum is not heavy, it is not suitable for this operation. Excessive consumption, patients with large omentum, surgery is more difficult. Preoperative preparation Patients with fluid in the thoracic cavity should be treated with thoracic puncture before operation, and the effusion should be drained and penicillin should be injected into the chest. If the infection is severe, chest drainage should be performed first. Surgical procedure The surgical method is to remove the pleural fibrosis after the wall layer, scrape the granulation tissue and necrotic tissue in the abscess, repeatedly flush the abscess, and remove the ribs 2 to 3 in the middle section of the anterior subperiosteal resection, and pass the left rib angle or the right side subcutaneously. The vascular pedicled omentum is lifted to the abscess, and there is a bronchopleural fistula. After the fistula is cleaned, the fistula is blocked and sutured with the omentum. The remaining cavity is intercostal muscle and chest wall muscle tissue. Filling, generally do not put the drainage tube, only put two rubber drainage strips in the wound, suture the chest wall pressure bandage. The vascular pedicled omental thoracic cavity transplantation has less chest deformation, less damage and is conducive to recovery, which is its greatest advantage.