Surgical management of spontaneous pneumothorax by bleb ligation and pleural dry sponge abrasion

Youmans, C. Roger; Williams, Roger D.; McMinn, M; Derrick, John R.

doi:10.1016/s0002-9610(70)80185-4

Cited by 46 publications

(13 citation statements)

References 27 publications

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“…Three studies of pleurodesis using mechanical abrasion in dogs have shown firm pleural adhesions; however, these studies were performed using a lateral thoracotomy approach and each dog received differing treatments bilaterally 4,13,17 . It is our clinical experience that pleural adhesion often occurs at a lateral thoracotomy site postoperatively even if mechanical abrasion has not been performed.…”

Section: Discussionmentioning

confidence: 99%

“…It is our clinical experience that pleural adhesion often occurs at a lateral thoracotomy site postoperatively even if mechanical abrasion has not been performed. In one of these studies, synthetic materials (silicone) were sutured to the parietal pleura and adhesions were noted at the uncovered pleural surfaces and through vents in the synthetic material 4 . The presence of foreign material including silicone is associated with inflammation, fibrovascular proliferation, and adhesions in the peritoneal cavity 39 .…”

Section: Discussionmentioning

confidence: 99%

“…PLEURODESIS IS DEFINED as the production of adhesions between the parietal and visceral pleurae 1 . It has been advocated in human beings as a treatment for spontaneous pneumothorax and malignant pleural effusion and is generally performed by using mechanical abrasion (MA) or chemical sclerosants 2–20 …”

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confidence: 99%

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The Efficacy of Mechanical Abrasion and Talc Slurry as Methods of Pleurodesis in Normal Dogs

et al. 1999

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Efficacy of Mechanical Abrasion and Talc Slurry as Methods of Pleurodesis in Normal Dogs

et al. 1999

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“…The mean charge used for every treatment was 8 (range [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. The largest bullae were perforated and deflated, then twisted on the axis perpendicular to the base, in order to improve the operator's access to the lesion and favour the correct placement of the Endopath or Endo-loop ( Figs.…”

Section: Methodsmentioning

confidence: 99%

“…Before the era of stapler, patients with GBE were treated by ligation and excision, or by 'capitonage' [6]. Later on, the introduction of the linear stapler permitted the resection of giant bullae easier and more safely [5].…”

Section: Introductionmentioning

confidence: 99%

Treatment by VATS of giant bullous emphysema: results

Menconi

Melfi

Mussi

et al. 1998

European Journal of Cardio-Thoracic Surgery

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Objective: In selected patients with giant bullous emphysema GBE and in those with specific complications, surgery may be the treatment of choice. Methods: In the period January 1993 -February 1996 we performed 34 VATS treatments in 29 patients affected by GBE. There were 22 (76%) males and 7 (24%) females, with a mean age of 54 years (range 24 -74). In 23 cases, a pneumothorax (PNX) was present at admission, while 6 patients were treated by choice. Altogether, we performed 23 resections of sessile bullae (type 2 of Reid) by using a linear endoscopic stapling device (Endo-path 35 and 45 mm) and 11 ligatures of pedicled bullae (type 1 of Reid) by loop (Endo-loop 'PDS'). The mean number of charges for every treatment was 8 (range 4-21). The largest bullae were perforated and deprived of incarcerated air. They were then twisted on the axis perpendicular to the base in order to improve the manoeuvrability of the lesion and favour the correct placement of the Endo-path or Endo-loop. GBE was bilateral in 7 cases: one of these was treated bilaterally in the same surgical stage, other 4 were treated by staged operations. Results: We experienced two conversions to open thoracotomy (one sessile giant bulla inside the fissura; 1 case of strong tuberculous pleural adhesions). Two patients, underwent a second operation by open thoracotomy because of a prolonged air leak. We have two peri-operative deaths, both to respiratory failure. Altogether, in 23 out of 29 (79%) cases VATS was effective and the mean hospital stay was 6 days (range 3-16). At a mean follow up of 16 months (range 1 -36) no recurrence of PNX was observed. Conclusions: VATS may be considered as a suitable surgical technique to approach GBE and, in most cases, it is effective.

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Intrapleural Instillation of Quinacrine for Recurrent Pneumothorax

Kattwinkel¹

1973

JAMA

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Surgical management of spontaneous pneumothorax by bleb ligation and pleural dry sponge abrasion

Cited by 46 publications

References 27 publications

The Efficacy of Mechanical Abrasion and Talc Slurry as Methods of Pleurodesis in Normal Dogs

The Efficacy of Mechanical Abrasion and Talc Slurry as Methods of Pleurodesis in Normal Dogs

Treatment by VATS of giant bullous emphysema: results

Intrapleural Instillation of Quinacrine for Recurrent Pneumothorax

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