[Preventive bronchial omentoplasty and myoplasty in pulmonary resection. Technical aspects and results]

Extended pulmonary resections with complete dissection of mediastinal lymph nodes, and the growth in neoadjuvant therapies, led us to define preventive methods to promote uncomplicated bronchial healing. Nineteen patients were operated on in conditions of high risk of impaired bronchial healing. They underwent bronchial revascularization either by omentopexy (12), or intercostal pedicle flap (7). 10/12 preventive omental pedicle flaps permitted correct healing, 7 preventive intercostal pedicle flaps permitted only 3 good results. This short series confirmed experimental data, and encouraged us to increase preventive bronchial omentopexy.