Bronchial fistula closure with negative pressure wound therapy: a feasible and cost-effective treatment

• Main Authors: RODRIGO BARBOZA NUNES, BRUNO FRANCISCO MÜLLER NETO, FEDERICO ENRIQUE GARCIA CIPRIANO, PEDRO SOLER COLTRO, JAYME ADRIANO FARINA JÚNIOR
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Cirurgiões
• Series: Revista do Colégio Brasileiro de Cirurgiões
• Subjects: Bronchial Fistula; Pneumonectomy; Negative Pressure Wound Therapy; Cost-Benefit Analysis.
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000400292&lng=en&tlng=en

ABSTRACT Treatment of bronchial fistula (BF) after pulmonary lobectomy is a challenge. Often, patients require long hospital stay, have recurrent empyema and pneumonia, are susceptible to sepsis, often need broad-spectrum antibiotics, as well as various surgical approaches. With the advent and growing evidence of the benefits of negative pressure therapy (NPT), its use in some patients with BF has been reported with encouraging results concerning its feasibility and cost-effectiveness. The aim of this study was to demonstrate the application of NPT as a resource for BF treatment and comparatively analyze the overall cost of treatment.