Four-year experience with pleural abrasion using a rotating brush during video-assisted thoracoscopy

Maier, Andrea B.; Anegg, Udo; Renner, Heiko; Tomaselli, Florian; Fell, B.; Lunzer, R.; Sankin, Oliver; Pintér, H; Friehs, G; Smolle‐Jüttner, Freyja Maria

doi:10.1007/s004649900016

Cited by 27 publications

(19 citation statements)

References 20 publications

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“…The brush system, when combined with VATS, was shown to be a highly effective and safe treatment for SP. The drainage time, hospitalization time and recurrence rate are comparable with other forms of pleurodesis in VATS (34).…”

Section: Vats In Spontaneous Pneumothoraxsupporting

confidence: 49%

Video‐Assisted Thoracic Surgery in Spontaneous Pneumothorax

Wan

Lee

et al. 2002

Canadian Respiratory Journal

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Section: Vats In Spontaneous Pneumothoraxsupporting

confidence: 49%

Video‐Assisted Thoracic Surgery in Spontaneous Pneumothorax

Wan

Lee

et al. 2002

Canadian Respiratory Journal

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“…Recent reports have also shown that additional pleurodesis reduces the postoperative recurrence rates of pneumothorax [1,5,12,13,16]. Reported recurrence rates are 0% (n = 0/33; follow-up range, 36±54 months) for apical pleurectomy [1], 0.5% (n = 1/195; follow-up range, 2±72 months) to 2.9% (n = 1/34; follow-up range, 1±12 months) for talc poudrage [5,16], 2.1% (n = 1/47; follow-up range, 20±56 months) for pleural abrasion using a rotating brush [13], 4% (n = 1/24; follow-up range, 36±58 months) for acromycin injection [12], and 5.0% (n = 2/40) for subtotal pleurectomy [5]. Compared with these techniques, our electrocautery procedure was equally as eective in preventing postoperative recurrences.…”

Section: Discussionmentioning

confidence: 96%

Impact of additional pleurodesis in video-assisted thoracoscopic bullectomy for primary spontaneous pneumothorax

et al. 2002

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“…Because ruptured blebs are mostly confined to the upper lobe, mechanical pleurodesis such as that used in this technique might be sufficient to obliterate the upper lung fields. Horio et al and Maier et al also showed satisfactory results with limited mechanical pleurodesis, however apical partial pleurectomy alone will not prevent recurrence in the lower part of the chest [7,17]. If complete apical pleurectomy by abrading the lower parietal pleura is performed, the recurrence rate is significantly reduced [12].…”

Section: Discussionmentioning

confidence: 99%

Additional mechanical pleurodesis after thoracoscopic wedge resection and covering procedure for primary spontaneous pneumothorax

et al. 2008

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Background Additional mechanical pleurodesis for the treatment of primary spontaneous pneumothorax (PSP) is believed to reduce the recurrence of PSP, and a covering procedure with absorbable mesh also shows comparable results. This study was conducted to determine whether additional mechanical pleurodesis would be effective in reducing recurrence after thoracoscopic wedge resection and covering procedure. Materials and methods Between May 2003 and August 2005, 99 patients underwent thoracoscopic bullectomy with staple line covering with absorbable cellulose mesh and fibrin glue followed by an additional mechanical pleurodesis. These patients were compared with 98 patients who underwent thoracoscopic bullectomy with staple line coverage alone. Results The additional mechanical pleurodesis group had findings comparable to those of the coverage group for duration of postoperative chest drainage, length of hospital stay, and complication rate. After median follow-up of 29.2 months, postoperative recurrence occurred in four patients (4.0%). Conclusions Additional mechanical pleurodesis after covering procedure is also effective in decreasing postoperative recurrence of PSP.Keywords Primary spontaneous pneumothorax (PSP) Á Mechanical pleurodesis Á Video-assisted thoracic surgery (VATS) Primary spontaneous pneumothorax (PSP) is well known to have high recurrence rates if not treated appropriately. There are ongoing debates on how to most effectively lower its recurrence after the first clinical treatment. Conservative treatments, such as needle aspiration or pleural drainage with a chest tube, show rather high recurrence rates, varying from 11% up to 36% [1]. Active surgical operations using thoracoscopy have resulted in a significant reduction in overall morbidity. However, wedge resection alone by video-assisted thoracoscopic surgery (VATS) has caused some doubts due to the high recurrence rates, hence various pleural symphyses have been performed in order to reduce its recurrence rate. In a previous retrospective study, Sakamoto et al. found that a staple line coverage procedure, which helps reduce the recurrence rate by minimizing the formation of new blebs near the staple line, showed a recurrence rate comparable to that of pleural symphysis, and as a result it has been confirmed that this procedure is effective in decreasing the recurrence rate of PSP [2,3].In this context, some questions have been raised as to whether additional mechanical pleurodesis can further reduce the recurrence rate if performed simultaneously

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Four-year experience with pleural abrasion using a rotating brush during video-assisted thoracoscopy

Abstract: VATS combined with mechanical brush pleurodesis using the electrical brush system is a highly effective and safe treatment for patients with recurrent primary spontaneous pneumothorax.

Cited by 27 publications

References 20 publications

Video‐Assisted Thoracic Surgery in Spontaneous Pneumothorax

Video‐Assisted Thoracic Surgery in Spontaneous Pneumothorax

Impact of additional pleurodesis in video-assisted thoracoscopic bullectomy for primary spontaneous pneumothorax

Additional mechanical pleurodesis after thoracoscopic wedge resection and covering procedure for primary spontaneous pneumothorax

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