Most cases of intractable pneumothorax are complicated by underlying lung diseases, which lead to poor intrathoracic conditions. Therefore, the treatment becomes even more challenging, and standard surgical techniques cannot always be applied to treat pneumothorax. We report a novel surgical technique using polyglycolic acid mesh and fibrin glue for intractable pneumothorax, named the mille feuille method. This method involves multiple layers of polyglycolic acid mesh and fibrin glue to control air leaks. A step-by-step protocol to perform it is described.
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http://dx.doi.org/10.1016/j.atssr.2023.07.014 | DOI Listing |
Front Pediatr
December 2024
Department of Pediatric Intensive Care Unit, Gansu Provincial Maternity and Child Care Hospital, Lanzhou, Gansu, China.
Intractable pneumothorax secondary to bronchopulmonary fistula is a rare complication in neonates. We present the first report of a newborn with spontaneous pneumothorax and bronchopleural fistula treated with extracorporeal membrane oxygenation (ECMO). Positive pressure mechanical ventilation resulted in persistent air leakage from the bronchopleural fistula.
View Article and Find Full Text PDFJ Thorac Dis
May 2024
Department of Thoracic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan.
BMC Pulm Med
June 2024
Department of Respiratory Medicine, Osaka Metropolitan University, 1-4-3, Asahimachi, Abeno-Ku, Osaka-City, Osaka, 545-8585, Japan.
Background: The management of intractable secondary pneumothorax poses a considerable challenge as it is often not indicated for surgery owing to the presence of underlying disease and poor general condition. While endobronchial occlusion has been employed as a non-surgical treatment for intractable secondary pneumothorax, its effectiveness is limited by the difficulty of locating the bronchus leading to the fistula using conventional techniques. This report details a case treated with endobronchial occlusion where the combined use of transbronchoscopic oxygen insufflation and a digital chest drainage system enabled location of the bronchus responsible for a prolonged air leak, leading to the successful treatment of intractable secondary pneumothorax.
View Article and Find Full Text PDFArch Bronconeumol
June 2024
Department of Respiratory Medicine, Yokohama Minami Kyosai Hospital, Yokohama, Japan. Electronic address:
Clin Exp Emerg Med
December 2024
Department of Emergency Medicine, University of California, Irvine, Orange, CA, USA.
Abdominal pain is one of the most common presenting chief complaints in the emergency department. Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of nonsurgical abdominal pain has not yet been characterized.
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