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[Surgery for intra-bronchial foreign bodies].
1Service de chirurgie thoracique, hôpital Ibn Sina, CHU Rabat-Salé, Rabat, Maroc. caidi@mailcity.com
Annales De Chirurgie
|July 19, 2002
Summary
Surgical intervention for intra-bronchic foreign bodies is reserved for cases where endoscopic extraction fails. Prevention remains the most effective treatment strategy for these airway foreign bodies.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Medical Devices
Background:
- Intra-bronchic foreign bodies pose significant risks, often leading to recurrent pulmonary infections.
- Endoscopic extraction is the primary treatment, but surgical intervention becomes necessary when it fails.
Purpose of the Study:
- To evaluate the outcomes of surgical treatment for intra-bronchic foreign bodies following failed endoscopic attempts.
- To analyze the efficacy and safety of surgical interventions in managing complex airway foreign body cases.
Main Methods:
- A retrospective review of 15 patients (9 males, 6 females; mean age 20.27 years) who underwent surgical treatment for intra-bronchic foreign bodies over 10 years.
- Surgical procedures included pulmonary resections in 12 patients due to significant parenchymal destruction.
Main Results:
- Pulmonary resections, including one pneumonectomy, were required in the majority of cases due to extensive lung damage.
- One case of post-operative empyema occurred, with zero peri-operative mortality.
Conclusions:
- Surgical treatment for intra-bronchic foreign bodies should be considered a secondary option after unsuccessful endoscopic extraction.
- Preventive measures are paramount in avoiding the need for invasive procedures and managing foreign body aspiration.