Applying Fibrin Glue under Pleurography for Intractable Secondary Spontaneous Pneumothorax.
Journal
The Thoracic and cardiovascular surgeon
ISSN: 1439-1902
Titre abrégé: Thorac Cardiovasc Surg
Pays: Germany
ID NLM: 7903387
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
pubmed:
7
2
2019
medline:
24
11
2021
entrez:
7
2
2019
Statut:
ppublish
Résumé
Prolonged air leakage is a problem that can frequently develop in patients with a secondary spontaneous pneumothorax (SSP) or in those who undergo thoracic surgery. However, the management of an air leak is difficult and reoperation might be avoided due to several reasons including adhesions. Herein, we introduce a fibrin glue application under pleurography (FGAP) and short-term outcomes in patients who underwent this procedure. FGAP was performed in 20 patients with an intractable persistent air leakage who had poor lung function, comorbidities to undergo general anesthesia and were expected severe adhesions due to previous surgery. All medical records were retrospectively reviewed. Eighteen cases sealed soon after dropping the glue. One patient had a prolonged air leak for 12 days and another patient required an operation to control air leakage 16 days after the procedure. The mean duration of postoperative drainage was 4.17 ± 2.11 days (range: 3-14 days). No postprocedural complications were recorded. The mean duration of follow-up was 12.01 ± 5.02 months (range: 4-22 months). FGAP could be a treatment option to seal air leaks, especially in cases with intractable air leakage.
Sections du résumé
BACKGROUND
BACKGROUND
Prolonged air leakage is a problem that can frequently develop in patients with a secondary spontaneous pneumothorax (SSP) or in those who undergo thoracic surgery. However, the management of an air leak is difficult and reoperation might be avoided due to several reasons including adhesions. Herein, we introduce a fibrin glue application under pleurography (FGAP) and short-term outcomes in patients who underwent this procedure.
METHODS
METHODS
FGAP was performed in 20 patients with an intractable persistent air leakage who had poor lung function, comorbidities to undergo general anesthesia and were expected severe adhesions due to previous surgery. All medical records were retrospectively reviewed.
RESULTS
RESULTS
Eighteen cases sealed soon after dropping the glue. One patient had a prolonged air leak for 12 days and another patient required an operation to control air leakage 16 days after the procedure. The mean duration of postoperative drainage was 4.17 ± 2.11 days (range: 3-14 days). No postprocedural complications were recorded. The mean duration of follow-up was 12.01 ± 5.02 months (range: 4-22 months).
CONCLUSION
CONCLUSIONS
FGAP could be a treatment option to seal air leaks, especially in cases with intractable air leakage.
Identifiants
pubmed: 30727011
doi: 10.1055/s-0038-1676986
doi:
Substances chimiques
Fibrin Tissue Adhesive
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
466-469Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.