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Omentoplasty in thoracic surgery.

Morihisa Kitano¹

¹Department of Thoracic Surgery, Aizawa Hospital, Matsumoto, Japan.

General Thoracic and Cardiovascular Surgery

|October 16, 2008

Summary

This summary is machine-generated.

Surgical plombage, initially for pulmonary tuberculosis, evolved from hard materials to safer options like omentoplasty. This one-stage omentoplasty is clinically significant for treating thoracic empyema and its complications.

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Area of Science:

Thoracic Surgery
Pulmonary Medicine

Background:

Plombage surgery was developed in Japan around 1945 for pulmonary tuberculosis.
Early methods using synthetic resin balls caused complications like empyema.

Observation:

Nagaishi reported the first extrapleural synthetic resin ball plombage in 1948.
Later plombage techniques improved by using softer filler materials.

Findings:

Currently, only air plombage and omentoplasty are viable surgical options.
Omentoplasty has become a standard procedure in thoracic surgery.
One-stage omentoplasty effectively treats chronic empyema with bronchopleural fistula.

Implications:

Omentoplasty utilizes multi-functional properties including hose action, angiogenesis, sucker action, and immune response.
This technique avoids highly stressful surgeries that can impair pulmonary function or cause thoracic deformity.