Prevention of middle lobe torsion or bronchial plication using anti-adhesive membrane: a simple, safe and uncomplicated technique!

Middle lobe torsion after right upper lobectomy is a rare but serious complication. Simple lobar shift may also lead to a bronchial plication, causing iterative pneumopathies. The preventive fixation of middle lobe to lower lobe is indicated to avoid these complications in case of complete major fissure. We performed this fixation, by using a resorbable anti-adhesive membrane, usually indicated in preventing postoperative pleural adhesion. This procedure is simple, effective, quick, and easy to perform without any risk of air leaks.