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Review
. 2015 Oct 12:21:222-5.
doi: 10.12659/MSMBR.895419.

When the Battle is Lost and Won: Delayed Chest Closure After Bilateral Lung Transplantation

Simona Soresi  1 , Anton Sabashnikov  1 , Alexander Weymann  1 , Mohamed Zeriouh  1 , André R Simon  1 , Aron-Frederik Popov  1
Affiliations
Review

When the Battle is Lost and Won: Delayed Chest Closure After Bilateral Lung Transplantation

Simona Soresi et al. Med Sci Monit Basic Res. .

Abstract

In this article we summarize benefits of delayed chest closure strategy in lung transplantation, addressing indications, different surgical techniques, and additional perioperative treatment. Delayed chest closure seems to be a valuable and safe strategy in managing patients with various conditions after lung transplantation, such as instable hemodynamics, need for high respiratory pressures, coagulopathy, and size mismatch. Therefore, this approach should be considered in lung transplant centers to give patients time to recover before the chest is closed.

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Figures

Figure 1
Figure 1
Delayed chest closure after bilateral lung transplantation. Superficial structures, including fascia, subcutaneous tissue, and skin, are left open and the ribs are not approximated. A transparent membrane is used to cover the thoracic space.
See this image and copyright information in PMC

References

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