Efficacy of a Pedicled Pericardial Fat Pad Fixed with Fibrin Glue on Postoperative Alveolar Air Leakage

To investigate the effectiveness of using a free pericardial fat pad to control air leaks from residual raw parenchymal surfaces after pulmonary resections, 30 consecutive patients were studied. There were 23 males and 7 females with a median age of 69 years. The indication for this technique was any alveolar air leak from a residual raw parenchymal surface which could not been controlled by suturing. There were 25 lobectomies with incomplete fissure and 5 cases of segmentectomy. None of the patients exhibited air leaks beyond 2 days, post-operative space problems, or infections. All patients had chest drains removed within 2 days after the operation. The application of a free pericardial fat pad is a promising new method of treating air leaks from residual raw parenchymal surfaces after pulmonary resections.

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Pericardial fat pad plombage for pulmonary cavity causing massive air leakage

Surgical Case Reports ◽

10.1186/s40792-020-00917-7 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Tomoyuki Nakano ◽

Hiroyoshi Tsubochi ◽

Kentaro Minegishi ◽

Shunsuke Endo

Keyword(s):

Air Leakage ◽

Fat Pad ◽

Pericardial Fat ◽

Pericardial Fat Pad ◽

Pulmonary Cavity

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Successful treatment of subarachnoid-pleural fistula using pericardial fat pad and fibrin glue after chest wall resection for lung cancer

The Japanese Journal of Thoracic and Cardiovascular Surgery ◽

10.1007/s11748-005-0008-8 ◽

2005 ◽

Vol 53 (2) ◽

pp. 93-96 ◽

Cited By ~ 3

Author(s):

Kimihiro Shimizu ◽

Yoshimi Otani ◽

Takashi Ibe ◽

Osamu Kawashima ◽

Mitsuhiro Kamiyoshihara ◽

...

Keyword(s):

Lung Cancer ◽

Chest Wall ◽

Fibrin Glue ◽

Successful Treatment ◽

Chest Wall Resection ◽

Fat Pad ◽

Pericardial Fat ◽

Pericardial Fat Pad

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Postoperative changes of the free pericardial fat pad for bronchial stump coverage

Journal of Thoracic Disease ◽

10.21037/jtd.2019.11.81 ◽

2019 ◽

Vol 11 (12) ◽

pp. 5228-5236 ◽

Cited By ~ 1

Author(s):

Takuya Nagashima ◽

Hiroyuki Ito ◽

Joji Samejima ◽

Daiji Nemoto ◽

Daisuke Eriguchi ◽

...

Keyword(s):

Fat Pad ◽

Bronchial Stump ◽

Pericardial Fat ◽

Postoperative Changes ◽

Pericardial Fat Pad

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Optimal Technique in Combined Application of Fibrin Glue and Polyglycolic Acid Felt for Alveolar Air Leakage: An Experimental Study

CHEST Journal ◽

10.1378/chest.1117181 ◽

2011 ◽

Vol 140 (4) ◽

pp. 838A

Author(s):

Yasuhiro Tsutani ◽

Keizo Misumi ◽

Takuhiro Ikeda ◽

Yoshihiro Miyata ◽

Yoshitaka Takegawa ◽

...

Keyword(s):

Experimental Study ◽

Fibrin Glue ◽

Polyglycolic Acid ◽

Air Leakage ◽

Alveolar Air ◽

Combined Application ◽

Optimal Technique

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Fibrin Glue–Minocycline Combination as a Sustained Release for the Prevention of Postoperative Alveolar Air Leak in Thoracoscopic Lung Resections

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0037-1598622 ◽

2017 ◽

Vol 65 (05) ◽

pp. 392-394

Author(s):

Hideki Kawai

Keyword(s):

Sustained Release ◽

Fibrin Glue ◽

Late Onset ◽

Air Leakage ◽

Release Formulation ◽

Ultrasonic Scalpel ◽

Sustained Release Formulation ◽

Alveolar Air ◽

Pulmonary Parenchyma ◽

Novel Method

AbstractAlthough the ultrasonic scalpel is known to avoid inadvertent thermal injury to pulmonary parenchyma owing to its lower tip temperature, there are reports suggesting late onset postoperative alveolar air leakage by using it. Herein, a novel method of preventing postoperative air leakage was developed by using a sustained release system of fibrin glue–minocycline combination. This method ensures that the effect of fibrin glue is followed by the effect of minocycline, which functions as a sustained release formulation. This study demonstrates a simple and effective method of preventing postoperative air leakage, without any increase in the rate of adverse events.

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