Abstract
Thoracoscopic pleurodesis using a fibrin glue was performed in 14 patients with recurrent spontaneous pneumothorax. After adhesiolysis and cauterization of blebs the adhesive was sprayed on the pleural apex. Scanning with 99Tc-labelled fibrinogen showed homogeneous distribution of the sealant film on the pleura. Histological fibroblasts were seen to have invaded the film within 4 days. Four weeks later fibrous obliteration was complete. The procedure was successful in 4 out of 5 patients who had pleural drainage for 2–48 h and 4 out of 5 patients where drainage was continued for 4 days. In 4 further patients the procedure failed because of bronchopleural fistula. The method is simple and well tolerated and seems to be useful even in first pneumothorax. Further studies will show whether the method can increase the success rate and reduce the recurrences of pneumothorax.
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© 1986 Springer-Verlag Berlin Heidelberg
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Spiegel, M., Benesch, J., Siebenmann, R. (1986). Thoracoscopic Fibrin Pleurodesis in the Treatment of Spontaneous Pneumothorax. In: Schlag, G., Redl, H. (eds) Fibrin Sealant in Operative Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71633-1_13
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DOI: https://doi.org/10.1007/978-3-642-71633-1_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-17141-6
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