METHOD FOR PREVENTING PLEURAL EMPYEMA AFTER PNEUMONECTOMY

摘要

A method for preventing the pleural empyema after pneumonectomy provides for the separation of the principal bronchus sparing maximally surrounding fat with the vascular and nervous plexus. The mucosa is dissected from the distal part of the bronchial stump. Additional ligatures are applied to stump angles involving surrounding tissues. Tienam powder is applied to bronchus section where the non-sterile mucosa was dissected and to the anterior and posterior lips of the stump. Then Tachocomb plate is applied until its complete adhesion. Tienam powder (0.5 g) is applied followed by the pleurization of the bronchial stump generating the dublicature of the pleural leaves. The pleural cavity is sanitized mechanically and chemically with Cyprofloxacin solution. Starting from the second day, the pleural cavity is filled with the isotonic solution with the aid of microirrigator for three days. Tienam (1.0 g in 100 mL of Metronidasol solution) isadministered for five days in the morning while in the evening 1.0 g of Amicacin is employed. Finally, an antibiotic is prescribed based on the assessment of the susceptibility of the plated bacteria.