Air Leak after Pulmonary Resection (Thoracic Surgery Clinics by Alessandro Brunelli MD

By Alessandro Brunelli MD

This factor of Thoracic surgical procedure Clinics is dedicated to the prevention and administration of air leak after pulmonary surgery.  regardless of fresh progresses in surgical procedure and better perioperative care, lengthy air leak continues to be a common problem after pulmonary resection.  Articles will handle issues resembling the physics and dynamics of the pleural area, probability elements of lengthy air leak, surgical recommendations and interoperative measures, using sealants or buttressing fabric; postoperative rescue concepts and postoperative administration of the chest tube, together with using new digitalized structures and conveyable units.

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Additional info for Air Leak after Pulmonary Resection (Thoracic Surgery Clinics of North America, Vol 20, Issue 3 Aug10)

Sample text

001). 02). In a 3-institution study of 74 consecutive patients, Stammberger and colleagues53 randomized 32 patients to receive BP-buttressed staple lines and 33 not (control) (evidence grade 2A). 04). 14). In an observational study of 57 consecutive patients, Fischel and McKenna54 compared BPbuttressed staple lines in 1 lung with bovine collagen (BC)–buttressed staples in the contralateral lung (evidence grade 2B). There was no difference in time to chest tube removal with either technique. However, use of BC was associated with an 80% lower cost.

21. Browdie DA, Cox D. Tests of experimental tissue adhesive sealants: analysis of strength effects in relation to tissue adhesive sealant standards. Tex Heart Inst J 2007;34:313–7. 22. Tansley P, Al-Mulhim F, Lim E, et al. A prospective, randomized, controlled trial of the effectiveness of BioGlue in treating alveolar air leaks. J Thorac Cardiovasc Surg 2006;132:105–12. 23. Macchiarini P, Wain J, Almy S, et al. Experimental and clinical evaluation of a new synthetic, absorbable sealant to reduce air leaks in thoracic operations.

Juettner FM, Kohek P, Pinter H, et al. Reinforced staple line in severely emphysematous lungs. J Thorac Cardiovasc Surg 1989;97:362–3. 45. Fulton RL, Dickson M. A useful technique for closure of pulmonary lacerations. Ann Thorac Surg 1990;50: 149–50. Use of Sealants and Buttressing Material 46. Vincent JG. Reinforcement of pulmonary parenchymal suture [comment]. Ann Thorac Surg 1991; 51:523–4. 47. Murray KD, Ho CH, Hsia JY, et al. The influence of pulmonary staple line reinforcement on air leaks.

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