AI Article Synopsis
- Prolonged air leakage is a common problem for patients with secondary spontaneous pneumothorax or those who've had thoracic surgery, making management challenging and sometimes leading to avoidance of reoperation due to complications like adhesions.* -
- A new method called fibrin glue application under pleurography (FGAP) was tested on 20 patients with persistent air leaks, and most (18 out of 20) experienced immediate sealing of the leak.* -
- The procedure had a low complication rate, with an average postoperative drainage duration of about 4 days and a follow-up period of over 12 months, suggesting FGAP could be a viable treatment for difficult air leaks.*
Article Abstract
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.
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Source |
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| http://dx.doi.org/10.1055/s-0038-1676986 | DOI Listing |
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