scholarly journals Usefulness of a new biological adhesive agent, Gelatin-Resorcinol Formaldehyde-Glutaraldehyde glue(GRFG-glue) in treating an air leakage following lung resection.

1995 ◽  
Vol 9 (5) ◽  
pp. 592-596
Author(s):  
Osamu Doi ◽  
Ken Kodama ◽  
Masahiko Higashiyama ◽  
Hideoki Yokouchi
2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Bernadette Ngo Nonga ◽  
Bonaventure Jemea ◽  
Angele O. Pondy ◽  
Daniel Handy Eone ◽  
Marie Claire Bitchong ◽  
...  

An aspergilloma is a well-recognized lesion of the lung caused most of the time by the fungus Aspergillus fumigatus. Its main complication is hemoptysis and has been very rarely associated with tension pneumothorax. We present the case of a 47-year-old man with a history of treated and healed tuberculosis, which was successfully managed in our service for a ruptured right upper lobe complexed aspergilloma, complicated by a massive and tension pneumothorax. The patient underwent thoracotomy and lung resection with quick recovery. Conclusively, although rare, an aspergilloma may rupture and cause a life-threatening air leakage.


2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Gloria Pelizzo ◽  
Eloisa Arbustini ◽  
Noemi Pasqua ◽  
Patrizia Morbini ◽  
Valeria Calcaterra

Introduction. In selected patients, the absorbable fibrin patch TachoSil® is superior to standard surgical treatment in reducing air leakage after pulmonary lobectomy. Pulmonary involvement is not considered a main feature of Marfan syndrome (MFS); however, spontaneous pneumothorax (SP) with a high rate of recurrence is frequently reported. We describe the use of TachoSil® in the supportive treatment of recurrent pneumothorax in a girl with MFS. Case Report. A 12-year-old girl with a previous diagnosis of MFS and recurrent history of left spontaneous pneumothorax was submitted to thoracoscopic atypical lung resection. Two patches (9.5 × 4.8 cm) were cut from the adhesive/foam complex (TachoSil®) and were pressed against the sutured area as supportive treatment. The patient recovered with no further SP recurrences. Conclusions. The use of the TachoSil® surgical patch may be useful in pneumothorax supportive treatment, particularly in pediatric MFS by ameliorating the mechanical strength of the lung.


2018 ◽  
Vol 3 (4) ◽  
pp. 36-40
Author(s):  
E A Korymasov ◽  
A S Benyan

Objectives - to analyze the causes of postoperative air leak and to propose a therapeutic and diagnostic algorithm for this complication. Material and methods. The study includes the analysis of the prolonged air leak causes after various lung resections, the classification of the causes according to their affiliation, the designed definitions of basic concepts. Results. The most common causes of prolonged air leakage are the incompetence of the lung resection line, the undetected (unresolved) cause of pneumothorax, the inadequate drainage system function. Various tactical approaches to this problem were described. Depending on the effectiveness of the auxiliary techniques, the indications for repeated operations were determined. Conclusion. Knowledge of the causes of postoperative prolonged pathological air leak is the basis for the optimal management of patients after lung resection.


2006 ◽  
Vol 29 (6) ◽  
pp. 867-872 ◽  
Author(s):  
Udo Anegg ◽  
Jorg Lindenmann ◽  
Veronika Matzi ◽  
Dzenana Mujkic ◽  
Alfred Maier ◽  
...  

2016 ◽  
Vol 12 (1) ◽  
pp. 183-192 ◽  
Author(s):  
Sławomir Jabłoński ◽  
Jacek Kordiak ◽  
Szymon Wcisło ◽  
Artur Terlecki ◽  
Piotr Misiak ◽  
...  
Keyword(s):  

Author(s):  
A. Kirschbaum ◽  
Th. M. Surowiec ◽  
A. Pehl ◽  
Th. Wiesmann ◽  
D. K. Bartsch ◽  
...  

AbstractFollowing non-anatomical resection of lung parenchyma with a Nd:YAG laser, a coagulated surface remains. As ventilation starts, air leakage may occur in this area. The aim of the present study was to investigate, whether additional coagulation either before or after ventilation has an additional sealing effect. Freshly slaughtered porcine heart-lung blocks were prepared. The trachea was connected to a ventilator. Using a Nd:YAG laser (wavelength: 1320 nm, power: 60 W), round lesions (1.5 cm in diameter) with a depth of 1.5 cm were applied to the lung using an 800-μm laser fiber (5 s per lesion). Group 1 (n = 12) was control. Additional coagulation was performed in group 2 (n = 12) without and in group 3 (n = 12) with ventilation restarted. Air leakage (ml) from the lesions was measured. The thickness of each coagulation layer was determined on histological slices. Differences between individual groups were analyzed by one-way ANOVA (significance p < 0.05). After resection, 26.2 ± 2.7 ml of air emerged from the lesions per single respiration in group 1. Air loss in group 2 was 24.6 ± 2.5 ml (p = 0.07) and in group 3 23.7 ± 1.8 ml (p = 0.0098). In comparison to groups 1 and 2 thickness of the coagulation layers in group 3 was significantly increased. After non-anatomical porcine lung resection with a Nd:YAG laser, additional coagulation of the ventilated resection area can reduce air leakage.


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