Intraoperative bronchial stump air leak control by Progel® application after pulmonary lobectomy
نویسندگان
چکیده
منابع مشابه
Postoperative air leak grading is useful to predict prolonged air leak after pulmonary lobectomy
BACKGROUND Results of studies to predict prolonged air leak (PAL; air leak longer than 5 days) after pulmonary lobectomy have been inconsistent and are of limited use. We developed a new scale representing the amount of early postoperative air leak and determined its correlation with air leak duration and its potential as a predictor of PAL. METHODS We grade postoperative air leak using a 5-g...
متن کاملAlternate suction reduces prolonged air leak after pulmonary lobectomy: a randomized comparison versus water seal.
BACKGROUND The objective of the present study was to compare in a prospective randomized fashion two different management schemes for chest tubes after lobectomy: water seal versus alternate suction (suction overnight and water seal during the day). METHODS Ninety-four patients with air leak on the morning of the first postoperative day were randomly assigned to two groups: group 1 (water sea...
متن کاملDelayed post-lobectomy pulmonary artery stump thrombosis
We present a 67 year old male patient who underwent VATS right upper lobectomy with en bloc chest wall resection and right lower lobe superior segmentectomy for atypical Ewing Sarcoma. Serial chest CT scan done more than two years after the initial resection showed a new filling defect in the right upper pulmonary artery stump. A repeat chest CT scan after three months of oral anticoagulation s...
متن کاملReduction of intraoperative air leaks with Progel in pulmonary resection: a comprehensive review
Intraoperative alveolar air leaks (IOALs) occur in 75% of patients during pulmonary resection. Despite routine use of sutures and stapling devices, they remain a significant problem in the daily practice of thoracic surgery. Air leaks that persist beyond postoperative day 5 often result in increased costs and complications. Several large meta-analyses have determined that sealants as a class re...
متن کاملThe thymic flap for bronchial stump reinforcement following lobectomy
Results A sixty-one year old male presented with a one-day history of severe left chest pain and a five-week history of a nonproductive cough. He had a history of multiple bilateral rib fractures following a motor vehicle accident. He was an exsmoker with no previous asbestos exposure. His respiratory rate was 22/minute with room air oxygen saturation of 95%. He had absent left basal breath sou...
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ژورنال
عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery
سال: 2015
ISSN: 1569-9293,1569-9285
DOI: 10.1093/icvts/ivv307