Open-Window Thoracostomy Closure Using a Free Musculocutaneous Flap, Fascia Patch Graft, and Postoperative
Paloma Malagón1, Cristian Carrasco1, Carlos Martinez-Barenys2
1Department of Plastic Surgery, Hospital Germans Trias i Pujol, Universitat Autònoma de Barcelona, 08916 Barcelona, Spain.
Journal of Clinical Medicine
|June 26, 2026
Summary
This study presents a novel surgical technique for closing complex bronchopleural fistulas using a free latissimus dorsi flap and bioadhesive. Postoperative monitoring ensured flap survival, achieving complete fistula closure and long-term patient recovery.
Area of Science:
- Thoracic Surgery
- Surgical Reconstruction
- Pulmonary Medicine
Background:
- Bronchopleural fistula (BPF) is a severe complication post-lung resection, particularly with open-window thoracostomy.
- Management is complex due to potential recurrence, infection, malignancy, and challenges in flap perfusion with compression.
- Limited reconstructive options exist with extensive surrounding tissue fibrosis.
