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Prevention of Postoperative Prolonged Air Leak After Pulmonary Resection.
Thorac Surg Clin
August 2020
Division of Thoracic Surgery, Department of Surgery, Boston Medical Center, Boston University School of Medicine, Boston University, 88 East Newton Street, Collamore Building, Suite 7380, Boston, MA 02118, USA. Electronic address:
Postoperative prolonged air leaks (PALs) occur after thoracic surgery in which lung parenchyma is resected, divided, or manipulated. These air leaks can place patients at risk for intensive care unit readmissions, longer hospital length of stay, and infectious complications. Studies have been conducted to identify patients who are at risk for air leak and several methods have been examined for the prevention and treatment of PALs.
View Article and Find Full Text PDFNovel technique for parietal pleural dissection using a laparoscopic hernia balloon.
Gen Thorac Cardiovasc Surg
May 2020
Department of Cardiothoracic Surgery, St Vincent's Hospital Melbourne, 41 Victoria Pde, Fitzroy, VIC, 3141, Australia.
We describe a novel technique for the creation of a pleural tent and pleurectomy via the use of a laparoscopic hernia balloon. In this method a Spacemaker™ Structural Balloon Trocar (Covidien, USA) is tunnelled under the pleura at the site of thoracotomy or video assisted thoracoscopic surgery port and incrementally inflated under vision. This method is less traumatic than traditional methods, is more likely to provide an intact pleural tent, and allows the surgeon to operate in a near bloodless operative field.
View Article and Find Full Text PDF[Residual Pleural Space after Lung Resection].
Zentralbl Chir
September 2019
Thorax- und Gefäßchirurgie, SRH Wald-Klinikum Gera, Deutschland.
Approximately 10% of patients exhibit a residual pleural space after anatomical lung resection. The most common causes are related to interstitial lung diseases associated with reduced compliance and air leaks. If no complication occurs by the end of the 4th week, an uncomplicated course (absorption of air) can be expected.
View Article and Find Full Text PDFThoracoscopic modified pleural tent for spontaneous pneumothorax.
Interact Cardiovasc Thorac Surg
August 2016
Department of Thoracic and Thyroid Surgery, Kyorin University Hospital, Tokyo, Japan.
Objectives: We developed a modified pleural tent (m-tent) procedure and used it in our hospital in almost 30 consecutive patients with spontaneous pneumothorax. The objective of this study was to clarify the feasibility and effectiveness of a thoracoscopic m-tent for the treatment of spontaneous pneumothorax.
Methods: From July 2013 to November 2014, 107 patients with spontaneous pneumothorax were treated in our institution.
Extracellular matrix pleural tent for persistent air leak and air space in a child after upper lobectomy.
Ann Thorac Surg
January 2015
Department of Cardiothoracic Surgery, Nationwide Children's Hospital, Columbus, Ohio. Electronic address:
Creation of a pleural tent is effective in reducing persistent air leaks after pulmonary resection. I report a case of a pleural-like tent being created out of extracellular matrix to treat a persistent air leak in child after upper lobectomy for a large congenital pulmonary airway malformation type II. Over the next year, ipsilateral lung expansion and growth occurred with near complete resolution of the apical air space.
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