Skip to main content
SpringerLink
Log in
Book cover

Fibrin Sealant in Operative Medicine pp 107–114Cite as

Treatment of Idiopathic Spontaneous Pneumothorax: Transthoracic Endoscopic Use of Fibrin Glue

  • Conference paper

Abstract

In the period from 1977 to May 1985, 269 patients were treated for idiopathic spontaneous pneumothorax. Methods of treatment were:

  1. 1.

    Air suction by puncture once or several times (n = 13; 4.8%)

  2. 2.

    Pleural drainage (n = 76; 28.3%)

  3. 3.

    Selective thoracoscopic pleurodesis (n = 142; 53.2%)

  4. 4.

    Explorative thoracotomy (n = 37; 13.7%)

Transthoracic endoscopic use of fibrin glue enabled the drainage period to be shortened considerably to 2.5 days compared with exclusive treatment with thorax suction drainage (mean duration, 14.3 days) and, thus, hospitalization to be cut down on as well.

Relapse frequency subsequent to primarily successful treatment of spontaneous pneumothorax was 19.7% with the group with drainage treatment alone, 9.0% after endoscopic fibrin pleurodesis and 2.7% after thoracotomy.

No complications were incurred after thoracotomy and selective fibrin pleurodesis.

The advantages of this method of treatment are the precise, endoscopically perceivable representation of pathological findings in the lung and pleura in the assessment of prospects for success subsequent to fibrin pleurodesis, in the short drainage duration and in the low number of relapses.

This is a preview of subscription content, log in via an institution.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Becker H, Müller HCHR (1970) Fehler bei der Indikationsstellung und Behandlung des Spontanpneumothorax. Langenbecks Arch klin Chir 327:567–570

    Article  CAS  Google Scholar 

  2. Becker H, Ungeheuer E (1971) Zur Behandlung des Spontanpneumothorax. Fortschr Med 89:413–415

    Google Scholar 

  3. Cadalbert M, Schamann M (1968) Indikation und Technik der Behandlung des Spontanpneumothorax. Schweiz Med Wschr 98:1159–1162

    PubMed  CAS  Google Scholar 

  4. Clark TA, Hutchson DE, Deaner RM, Fitchett VH (1972) Spontaneous pneumothorax. Am J Surg 124:728–731

    Article  PubMed  CAS  Google Scholar 

  5. Derra E, Reitter H (1963) Klinik und therapeutische Probleme beim sogenannten Spontanpneumothorax. Dtsch Med Wschr. 88:737–742

    Article  PubMed  CAS  Google Scholar 

  6. Deucher F (1950) Der idiopathische Spontanpneumothorax. Langenbecks Arch Klin Chir 265:181–244

    Article  CAS  Google Scholar 

  7. Dichtl K (1968) Der Spontanpneumothorax. Wien Med Wschr 118:650–654

    PubMed  CAS  Google Scholar 

  8. Doerfel G (1968) Die Behandlung des Spontanpneumothorax. Z Tuberk 127:263–272

    PubMed  CAS  Google Scholar 

  9. Dragojevic D, Borst HG (1974) Idiopathischer Spontanpneumothorax. In: Indikation zur Operation. Springer, Berlin Heidelberg New York

    Google Scholar 

  10. Elert O, Eigei P (1983) Die Behandlung des Spontanpneumothorax unter Berücksichtigung der Rezidivhäufigkeit. Praxis und Klinik der Pneumologie 37:983–985

    PubMed  Google Scholar 

  11. Engel J (1966) Zur Klinik und Behandlung des Spontanpneumothorax. Ein Überblick über 228 Fälle. Münch Med Wschr 97:2140–2147

    Google Scholar 

  12. Ferlinz R (1972) Therapie des Spontanpneumothorax. Dtsch Med Wschr. 97:247–249

    Article  PubMed  CAS  Google Scholar 

  13. Friesdorf C (1927) Ein Beitrag zur Aetiologie und Pathogenese des nichttuberkulösen Spontanpneumothorax. Münch Med Wschr 74:1672–1674

    Google Scholar 

  14. Fuchs HS (1969) Der idiopathische Spontanpneumothorax. Fortschr Med 87:248–252

    Google Scholar 

  15. Geiger M, Wieser O (1967) Der Spontanpneumothorax in Praxis und Klinik. Prax Pneumol 21:81–86

    PubMed  CAS  Google Scholar 

  16. Geisler LS (1978) Indikation und Technik der Pneumothoraxbehandlung. Dtsch Med Wschr 103:1769–1770

    Article  PubMed  CAS  Google Scholar 

  17. Geisler P, Janiak B (1964) Diagnose, Therapie und Prognose des Spontanpneumothorax. Med Welt 7:313–319

    Google Scholar 

  18. Greschuchna D (1972) Spontanpneumothorax — Richtlinien der konservativen Behandlung. Thoraxchirurgie 20:298–302

    CAS  Google Scholar 

  19. Hessler O (1960) Der idiopathische Spontanpneumothorax und seine Behandlung. Chirurg 31:201–206

    PubMed  CAS  Google Scholar 

  20. Jones MR, Loyons HA (1954) Spontaneous pneumothorax. Am J Med Sci 227:13–20

    Article  PubMed  CAS  Google Scholar 

  21. Keller R, Gutersohn J, Herzog H (1974) Die Behandlung des persistierenden Pneumothorax durch thorakoskopische Maßnahmen. Thoraxchirurgie 22:457–460

    CAS  Google Scholar 

  22. Keßler E, Day N (1984) Klinik und Therapie des Spontanpneumothorax. Prax Klinik Pneumol 38:523–533

    Google Scholar 

  23. Kjaerdaard H (1932) Spontaneous pneumothorax in the apparently healthy. Acta Med Scand Suppl 43:1–159

    Google Scholar 

  24. Liebeskind R (1961) Die Behandlung des Spontanpneumothorax. Münch Med Wschr 103:1774–1777

    PubMed  CAS  Google Scholar 

  25. Lindskog GE, Halasz NA (1957) Spontaneous pneumothorax. A consideration of pathogenesis and management with review of 72 hospitalized cases. Arch Surg 75:693–698

    Article  CAS  Google Scholar 

  26. Maassen W (1974) Spontanpneumothorax — Chirurgische Therapie. Therapiewoche 24:214–218

    Google Scholar 

  27. Matzander U (1963) Zur Problematik in der Beurteilung und Behandlung des sogenannten idiopathischen Spontanpneumothorax. Med Klin 58:832–835

    Google Scholar 

  28. Mills M, Baisch BF (1965) Spontaneous pneumothorax. A series of 400 cases. Ann Thoracic Surg 1:286–297

    Article  Google Scholar 

  29. Myers JA (1954) Simple spontaneous pneumothorax. Dis Chest 26:420–441

    PubMed  CAS  Google Scholar 

  30. Oeser FE (1961) Die Prognose des sogenannten idiopathischen Spontanpneumothorax. Med Klin 56:1635–1636

    PubMed  CAS  Google Scholar 

  31. Scheel W (1968) Zur Ätiologie und Therapie des Spontanpneumothorax. Thoraxchirurgie 16:135–143

    CAS  Google Scholar 

  32. Scheele J, Mühe E, Wopfner F (1978) Fibrinklebung. Eine neue Behandlungsmethode beim persistierenden und rezidivierenden Spontanpneumothorax. Chirurg 49:236–243

    PubMed  CAS  Google Scholar 

  33. Schott H, Viereck HJ (1972) Klinik und rationelle Therapie des Spontanpneumothorax. Dtsch Med Wschr 97:491–496

    Article  PubMed  CAS  Google Scholar 

  34. Schwander R, Perruchond A, Kopp C, Herzog H (1979) Therapeutische Empfehlungen beim idiopathischen Spontanpneumothorax. Schweiz Med Wschr 109:36–39

    PubMed  CAS  Google Scholar 

  35. Unholtz K (1972) Richtlinien der chirurgischen Therapie des Spontanpneumothorax. Thoraxchirurgie 20:303–307

    CAS  Google Scholar 

Download references

Authors
  1. O. Elert
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Eigel
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Ludwig-Boltzmann-Institut für experimentelle Traumatologie, Donaueschingenstraße 13, A-1200, Vienna, Austria

    Günther Schlag  & Heinz Redl  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1986 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Elert, O., Eigel, P. (1986). Treatment of Idiopathic Spontaneous Pneumothorax: Transthoracic Endoscopic Use of Fibrin Glue. In: Schlag, G., Redl, H. (eds) Fibrin Sealant in Operative Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71633-1_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-71633-1_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-17141-6

  • Online ISBN: 978-3-642-71633-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation