Pleural flap to prevent lobar torsion: a novel technique

Cemal Asim Kutlu, Guven Olgac

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)

Abstract

Lobar torsion is reported as very rare but sometimes catastrophic complication if overlooked during the early postoperative period following a lobectomy, though it is totally preventable. In this novel technique, a piece of parietal pleural flap is harvested from the posterior wall of the chest using a hook diathermy while keeping its upper border as close to the apex as possible. Finally, distal end of the flap is secured to the upper edge of the lobe using a fine monofilament absorbable suture. This procedure not only protects the lobe from rotation but also maintains continuous expansion of the lung in the early postoperative period and may, therefore, be a good option to prevent such a serious complication in selected patients following a lobectomy.

Original languageEnglish
Pages (from-to)943-944
Number of pages2
JournalEuropean Journal of Cardio-thoracic Surgery
Volume30
Issue number6
DOIs
Publication statusPublished - Dec 2006
Externally publishedYes

Keywords

  • Lobar torsion
  • Lobectomy
  • Patient safety
  • Perioperative care
  • Postoperative complications

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