Fistula Pleural

Introduction: A fistula is a canal connecting one body cavity or organ to the surface of the skin. Holes are formed when the skin is inflamed, an organ is punctured with a needle, or due to damage to the membrane of the spinal cord. Often during surgical operations, pus accumulates in the abdominal cavity, so an artificial fistula is used very rarely.

Pleural fistula is a communication path between the pleural cavity and the free surface of the body. The pleurae are two thin sheets of tissue that cover the lungs and are joined to form a pocket surrounded by ligaments. The lungs are located in the chest, surrounded by the spinal cord and skull. With the development of inflammation of the membranes of the lungs or neighboring tissues, cavities appear on their surfaces - cavities or bullae. The pleura is involved in all movements of the body: when sneezing, coughing, walking, running, it contracts or stretches to block or let in air. The films easily collapse or inflate, and the surface of the pleural walls in contact with each other is sufficiently elastic and not too rough. But with the formation of purulent cavities or bronchiectasis, the pleura softens, collapses or ruptures. The wound at the site of the rupture is covered with its own tissue within a few days, but does not close the “path” to the purulent contents. The path of communication with the appropriate land or body surface must be closed to provide drainage or to remove pus, exudate, mucus and transudate. This leaves a hole or channel between the chest cavity and the surface tissue.

Why do pleural fistulas remain open?

Treatment is carried out by evacuation of pathological contents and reinfusion. The essence of the work of this complex is

Pleural fistula (pleurostoma, fistula pleuritis, “fistula of the lung”) is a pathological anastomosis between the pleural cavity and the environment (for example, the mediastinum) or between various elements of the pleura (for example, leaves). In essence, it is a fistulous tract in which sometimes numerous carious microflora are located. You can also say that this is a “perforated” pleura. A fistula is a consequence of a rupture of a lung abscess, which develops in severe pneumonia. It can also be caused by prolonged placement of a tube for artificial respiration through a puncture in the pleura. Fistulas are often a consequence of surgical treatment of lung diseases.

Pleural fistula is a fistula draining the pleural cavity with empyema or encysted pleurisy, purulent infiltrate or pulmonary echosis. More often it serves to drain pus from the pleural cavity: one end opens into the pleura in the form of a pinhole near the corresponding pleura.

When preparing to remove the patient's drainage, it is necessary to carefully monitor him and pay attention to the condition of the wound. After removing the drainage tube, the wound should be fenced off