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When the Battle is Lost and Won: Delayed Chest Closure After Bilateral Lung Transplantation.

Soresi S, Sabashnikov A, Weymann A, Zeriouh M, Simon AR, Popov AF - Med Sci Monit Basic Res (2015)

Bottom Line: In this article we summarize benefits of delayed chest closure strategy in lung transplantation, addressing indications, different surgical techniques, and additional perioperative treatment.Delayed chest closure seems to be a valuable and safe strategy in managing patients with various conditions after lung transplantation, such as instable hemodynamics, need for high respiratory pressures, coagulopathy, and size mismatch.Therefore, this approach should be considered in lung transplant centers to give patients time to recover before the chest is closed.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, Harefield Hospital, Harefield, Middlesex, London, United Kingdom.

ABSTRACT
In this article we summarize benefits of delayed chest closure strategy in lung transplantation, addressing indications, different surgical techniques, and additional perioperative treatment. Delayed chest closure seems to be a valuable and safe strategy in managing patients with various conditions after lung transplantation, such as instable hemodynamics, need for high respiratory pressures, coagulopathy, and size mismatch. Therefore, this approach should be considered in lung transplant centers to give patients time to recover before the chest is closed.

No MeSH data available.


Related in: MedlinePlus

Delayed chest closure after bilateral lung transplantation. Superficial structures, including fascia, subcutaneous tissue, and skin, are left open and the ribs are not approximated. A transparent membrane is used to cover the thoracic space.
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f1-medscimonitbasicres-21-222: Delayed chest closure after bilateral lung transplantation. Superficial structures, including fascia, subcutaneous tissue, and skin, are left open and the ribs are not approximated. A transparent membrane is used to cover the thoracic space.

Mentions: The concept of “open chest” as a therapeutic manoeuvre for patients who are hemodynamically unstable after LT (Figure 1) is supported by extensive experience from cardiac surgery and, more recently, from ventricular assist device (VAD) implantation [3]. Limited data from retrospective studies are available to compare short- and longer-term outcomes from lung transplant recipients using the open chest management technique as opposed to the conventional primary chest closure (PCC). We review these results with particular focus on establishing indications and clear protocols for management of patients potentially suitable for delayed chest closure (DCC) following LT.


When the Battle is Lost and Won: Delayed Chest Closure After Bilateral Lung Transplantation.

Soresi S, Sabashnikov A, Weymann A, Zeriouh M, Simon AR, Popov AF - Med Sci Monit Basic Res (2015)

Delayed chest closure after bilateral lung transplantation. Superficial structures, including fascia, subcutaneous tissue, and skin, are left open and the ribs are not approximated. A transparent membrane is used to cover the thoracic space.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4608641&req=5

f1-medscimonitbasicres-21-222: Delayed chest closure after bilateral lung transplantation. Superficial structures, including fascia, subcutaneous tissue, and skin, are left open and the ribs are not approximated. A transparent membrane is used to cover the thoracic space.
Mentions: The concept of “open chest” as a therapeutic manoeuvre for patients who are hemodynamically unstable after LT (Figure 1) is supported by extensive experience from cardiac surgery and, more recently, from ventricular assist device (VAD) implantation [3]. Limited data from retrospective studies are available to compare short- and longer-term outcomes from lung transplant recipients using the open chest management technique as opposed to the conventional primary chest closure (PCC). We review these results with particular focus on establishing indications and clear protocols for management of patients potentially suitable for delayed chest closure (DCC) following LT.

Bottom Line: In this article we summarize benefits of delayed chest closure strategy in lung transplantation, addressing indications, different surgical techniques, and additional perioperative treatment.Delayed chest closure seems to be a valuable and safe strategy in managing patients with various conditions after lung transplantation, such as instable hemodynamics, need for high respiratory pressures, coagulopathy, and size mismatch.Therefore, this approach should be considered in lung transplant centers to give patients time to recover before the chest is closed.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, Harefield Hospital, Harefield, Middlesex, London, United Kingdom.

ABSTRACT
In this article we summarize benefits of delayed chest closure strategy in lung transplantation, addressing indications, different surgical techniques, and additional perioperative treatment. Delayed chest closure seems to be a valuable and safe strategy in managing patients with various conditions after lung transplantation, such as instable hemodynamics, need for high respiratory pressures, coagulopathy, and size mismatch. Therefore, this approach should be considered in lung transplant centers to give patients time to recover before the chest is closed.

No MeSH data available.


Related in: MedlinePlus