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Pechetov A.A.

Vishnevsky Research Center for Surgery

Volchansky D.A.

Vishnevsky Research Center for Surgery

Vishnevskaya G.A.

Vishnevsky National Medical Research Center of Surgery

Kleuzovich A.A.

Vishnevsky National Medical Research Center for Surgery

Makov M.A.

A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of Russia

Lednev A.N.

Vishnevsky National Medical Research Center of Surgery

Gulova N.V.

Vishnevsky National Medical Research Center of Surgery

Surgical approach for destructive pneumonia associated with COVID-19

Authors:

Pechetov A.A., Volchansky D.A., Vishnevskaya G.A., Kleuzovich A.A., Makov M.A., Lednev A.N., Gulova N.V.

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Journal: Pirogov Russian Journal of Surgery. 2023;(3): 64‑71

DOI: 10.17116/hirurgia202303164

Views: 1973

Downloaded: 36

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SURGICAL APPROACH FOR DESTRUCTIVE PNEUMONIA ASSOCIATED WITH COVID-19
SURGICAL APPROACH FOR DESTRUCTIVE PNEUMONIA ASSOCIATED WITH COVID-19

To cite this article:

Pechetov AA, Volchansky DA, Vishnevskaya GA, Kleuzovich AA, Makov MA, Lednev AN, Gulova NV. Surgical approach for destructive pneumonia associated with COVID-19. Pirogov Russian Journal of Surgery. 2023;(3):64‑71. (In Russ.)
https://doi.org/10.17116/hirurgia202303164

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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There were over 400 million people with COVID-19 pneumonia worldwide and over 12 million in the Russian Federation after 2020. Complicated course of pneumonia with abscesses and gangrene of lungs was observed in 4% of cases. Mortality ranges from 8 to 30%. We report 4 patients with destructive pneumonia following SARS-CoV-2 infection. In one patient, bilateral lung abscesses regressed under conservative treatment. Three patients with bronchopleural fistula underwent staged surgical treatment. Reconstructive surgery included thoracoplasty with muscle flaps. There were no postoperative complications that required redo surgical treatment. We observed no recurrences of purulent-septic process and mortality.

Keywords:

bronchopleural fistula
COVID-19
lung abscess
destructive pneumonia

Authors:

Pechetov A.A.

Vishnevsky Research Center for Surgery

Volchansky D.A.

Vishnevsky Research Center for Surgery

Vishnevskaya G.A.

Vishnevsky National Medical Research Center of Surgery

Kleuzovich A.A.

Vishnevsky National Medical Research Center for Surgery

Makov M.A.

A.V. Vishnevsky National Medical Research Center of Surgery of the Ministry of Health of Russia

Lednev A.N.

Vishnevsky National Medical Research Center of Surgery

Gulova N.V.

Vishnevsky National Medical Research Center of Surgery

Received:

08.07.2022

Accepted:

10.08.2022

List of references:

  1. Renaud-Picard B, Gallais F, Riou M, Zouzou A, Porzio M, Kessler R. Delayed pulmonary abscess following COVID-19 pneumonia: A case report. Respir Med Res. 2020;78:100776. https://doi.org/10.1016/j.resmer.2020.100776
  2. Hidron A, Quiceno W, Cardeño JJ, Roncancio G, García C. Post-COVID-19 Necrotizing Pneumonia in Patients on Invasive Mechanical Ventilation. Infect Dis Rep. 2021;13(3):835-842.  https://doi.org/10.3390/idr13030075
  3. Kalenchic TI, Kabak SL, Primak SV, SHirinaliev NM. Abscess legkogo kak oslozhnenie COVID-19-pnevmonii: klinicheskij sluchaj. Tuberkulez i bolezni legkih. 2021;99(12):7-13.  https://doi.org/10.21292/2075-1230-2021-99-12-7-12
  4. Marra A, Hillejan L, Ukena D. Therapie von Lungenabszessen. Zentralbl Chir. 2015;140(1):47-53. (German). https://doi.org/10.1055/s-0035-1557883
  5. Ermashkevich SN, Petuhov VI, Kuncevich MV. Rezul’taty primeneniya metoda programmirovannyh mini-retorakotomij s ispol’zovaniem vakuum-assistirovannoj terapii pri ostryh abscessah legkih. Dostizheniya fundamental’noj, klinicheskoj mediciny i farmacii: materialy 75-oj nauchnoj sessii sotrudnikov universiteta, Vitebsk, 29—30 yanvarya 2020 g. Vitebsk: Vitebskij gosudarstvennyj medicinskij universitet; 2020;9-12.  https://elibrary.ru/download/elibrary_42716059_69174783.pdf
  6. Nizami M, Grieco C, Hogan J, Aresu G. Surgical management of a COVID-19-associated necrotic pneumonia. BMJ Case Rep. 2021;14(6):e240766. https://doi.org/10.1136/bcr-2020-240766
  7. LoCicero J, Feins RH, Colson YL, Rocco G. Shields’ General Thoracic Surgery [electronic Resource]/[edited by] Joseph LoCicero III, Richard H Feins, Yolonda L Colson, Gaetano Rocco. 8th ed. Wolters Kluwer; 2019.
  8. Takamatsu J, Kang J, Fukuhara A, Yasue Y, Kawata S. Lung Abscess with a Refractory Bronchopleural Fistula Saved from Potentially Fatal Sepsis by Omentoplasty and Extracorporeal Membrane Oxygenation. Case Rep Crit Care. 2021;2021:9025990. https://doi.org/10.1155/2021/9025990
  9. Dienemann H, Hoffmann H, Detterbeck F. Chest Surgery. Springer Surgery Atlas Series. Springer-Verlag Berlin Heidelberg; 2015;544.  https://doi.org/10.1007/978-3-642-12044-2
  10. Kaul P. Sternal reconstruction after post-sternotomy mediastinitis. J Cardiothorac Surg. 2017;12(1):94.  https://doi.org/10.1186/s13019-017-0656-7

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