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Published on: June 14, 2015
Applying Fibrin Glue under Pleurography for Intractable Secondary Spontaneous Pneumothorax
Jeong Su Cho1, Hyo Yeong Ahn1, Yeong Dae Kim1
1Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Busan, Republic of Korea.
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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Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax-II
Clinical Manifestations:
Spontaneity
Secondary Active Transport
Secondary Active Transport
Secondary Healthcare System

