Does pleural bronchial wrapping improve wound healing in right sleeve lobectomy? 1985

T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi

The effect of bronchial circulation on wound healing at the site of anastomosis after right upper sleeve lobectomy was studied in dogs. In two dogs (Group I), the bronchial arteries were carefully preserved during the sleeve lobectomy. In 16 dogs (Group II), only sleeve lobectomy was performed after all bronchial arteries in the hilum were ligated. In three dogs (Group III), the site of anastomosis was wrapped by a Penrose drain after sleeve lobectomy. In three other dogs (Group IV), the site of anastomosis was wrapped with a free pleural flap after sleeve lobectomy. In another group of 11 dogs (Group V), the anastomotic site was wrapped with a pedicled pleural flap. The dogs in Group I were put to death immediately and bronchial arterial circulation was recognized to consist primarily of systemic arterial blood. In Group II dogs, bronchial arteries distal to the anastomosis filled with pulmonary arterial blood immediately after the sleeve lobectomy. Although the majority of bronchial arteries became filled with systemic arterial blood with time, some vessels were filled with pulmonary arterial blood even 7 days after the sleeve lobectomy. In Group III dogs, wound healing at the site of anastomosis was severely delayed, and 7 days after the sleeve lobectomy the majority of bronchial arteries in the bronchial wall distal to the anastomosis were filled with pulmonary arterial blood. In Group IV dogs, the state of wound healing at the bronchial anastomotic site was similar to that of Group III dogs. In Group V, although the state of wound healing at the anastomosis was relatively good in most of the animals, the pedicled pleural wrap did not significantly improve bronchial circulation over that of Group II.

UI MeSH Term Description Entries
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
D010994 Pleura The thin serous membrane enveloping the lungs (LUNG) and lining the THORACIC CAVITY. Pleura consist of two layers, the inner visceral pleura lying next to the pulmonary parenchyma and the outer parietal pleura. Between the two layers is the PLEURAL CAVITY which contains a thin film of liquid. Parietal Pleura,Visceral Pleura,Pleura, Parietal,Pleura, Visceral
D001981 Bronchial Arteries Left bronchial arteries arise from the thoracic aorta, the right from the first aortic intercostal or the upper left bronchial artery; they supply the bronchi and the lower trachea. Arteries, Bronchial,Artery, Bronchial,Bronchial Artery
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012408 Rubber A high-molecular-weight polymeric elastomer derived from the milk juice (LATEX) of HEVEA brasiliensis and other trees and plants. It is a substance that can be stretched at room temperature to at least twice its original length and after releasing the stress, retract rapidly, and recover its original dimensions fully. Latex Rubber,Elastica,India Rubber,Natural Rubber,Plant Rubber,Vulcanite,Natural Rubbers,Plant Rubbers,Rubber, Natural,Rubber, Plant,Rubbers, Natural,Rubbers, Plant
D012828 Silicones A broad family of synthetic organosiloxane polymers containing a repeating silicon-oxygen backbone with organic side groups attached via carbon-silicon bonds. Depending on their structure, they are classified as liquids, gels, and elastomers. (From Merck Index, 12th ed) Silicone
D013524 Surgical Flaps Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region. Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps
D014945 Wound Healing Restoration of integrity to traumatized tissue. Healing, Wound,Healings, Wound,Wound Healings

Related Publications

T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
February 1983, Israel journal of medical sciences,
T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
April 1983, The Annals of thoracic surgery,
T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
May 2020, Zhongguo fei ai za zhi = Chinese journal of lung cancer,
T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
June 1998, Kyobu geka. The Japanese journal of thoracic surgery,
T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
August 2013, Journal of thoracic disease,
T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
August 1988, Kyobu geka. The Japanese journal of thoracic surgery,
T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
January 1991, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
March 1987, Kyobu geka. The Japanese journal of thoracic surgery,
T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
January 1995, Journal of the American Geriatrics Society,
T Ishihara, and E Nemoto, and K Kikuchi, and R Kato, and K Kobayashi
May 1988, Kyobu geka. The Japanese journal of thoracic surgery,
Copied contents to your clipboard!