Applying Fibrin Glue under Pleurography for Intractable Secondary Spontaneous Pneumothorax
30 August 2018
28 November 2018
06 February 2019 (online)
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 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 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 FGAP could be a treatment option to seal air leaks, especially in cases with intractable air leakage.
Dr. H.Y.A. contributed in study designing, data collection, analysis and interpretation of the data, writing manuscript, and critical revision of the manuscript for important intellectual content.
Drs. J.S.C. and Y.D.K. contributed to critical revision of the manuscript for important intellectual content.
On January 14, 2019 the Editorial Office received a request by the corresponding author to change the author list, subsequently agreed to by all authors concerned.
Readers should be aware that the original author list and sequence at the time of final acceptance of the manuscript was as follows:
Hyo Yeong Ahn, Jeong Su Cho, Yeong Dae Kim, Hoseok I.
Markus K. Heinemann, MD, PhD
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