The effect of fibrin sealant spraying on prolonged air leak after pulmonary resections: a single center experience

Kumbasar, Ulaş; Yilmaz, Yigit; Ozercan, Mesut Melih; Ancın, Burcu; Di̇kmen, Erkan; Doğan, Rıza

doi:10.26663/cts.2017.0019

Cited by 2 publications

(3 citation statements)

References 20 publications

(27 reference statements)

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“…The study of Kumbasar et al [23] revealed postoperative air leak 10.5% in patients with fibrin glue application to 18.2%in patients without glue [p= 0.668] and removal of chest tube range from 2-6 days to 2-14 days in patients using glue versus without glue with p value [0.05].…”

Section: Discussionmentioning

confidence: 99%

Role of Surgical Glue in Persistent Air Leak in Spontaneous Pneumothorax

Elbadawy

Farag

Nosair

2021

International Journal of Medical Arts

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Article informationBackground: Surgical glue [synthetic cyanoacrylic glue] is a sealant material used in treatment of persistent air leak in primary, secondary and recurrent spontaneous pneumothorax after repair of bronco pleural fistula by synthetic sutures as polypropylene or polydioxanone materials. The aim of the work: We aimed to evaluate the effect of surgical glue in treatment of cases of persistent air leak after surgical repair in comparison to surgical repair only. Patients and Methods: A retrospective analysis was performed of 21 patients who underwent surgery for persistent air leak at our department in Al Zahra and Dar Elhekma hospital from May 2015 to December 2018 where age ranges from 32 to 55 and they were 4 females and 17 males, surgical glue used in a group of patients [group A] and another patients as a comparison group without using the glue [group B].11 patients were treated by excision of blebs or bullae with closure of feeding bronchus by synthetic sutures with application of surgical glue and 10 patients were treated by excision only without application of glue. Results: Thoracotomy done in all patients via posterolateral thoracotomy. Operative time, chest tube removal, and hospital stay were significant in group A versus group B. Superficial wound infection in one case in group A without mortality in both groups, one case of persistent air leak and 4 cases of recurrent pneumothorax within two years of follow up in group B. Conclusion: Use of surgical glue [sealant] applied in reducing air leak associated with spontaneous pneumothorax and in recurrent pneumothorax was safe and effective.

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Section: Discussionmentioning

confidence: 99%

Role of Surgical Glue in Persistent Air Leak in Spontaneous Pneumothorax

Elbadawy

Farag

Nosair

2021

International Journal of Medical Arts

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“…Furthermore, it should be pressureresistant and not allow air leak. 11,12 Federico et al reported that Coseal reduced the rate of air leaks and duration of hospital stay. The material was easy-to-use and caused no morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…19 Based on positive results obtained in emphysema surgery, supporting the stapler line with synthetic or biological materials has been proposed. 12,20 Likewise, the present study investigated the efficacy of Peristrips made of bovine pericardium and Coseal used to support the stapler line on air leak and complications in emphysema patients. In Group 1, where Peristrips alone was used, times to discharge and tube removal were better compared to Group 2, where no Peristrips was used.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Surgical Tissue Glues and Supporters for Treatment of Prolonged Air Leaks in Bullous Emphysema

Akar

Haberal

Dikiş

2020

J Coll Physicians Surg Pak

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Bullous lung diseases are still disputable with respect to their definition, classification, and treatment algorithm. New approaches have been put forth especially for treatment in recent years. Prognosis is closely linked to patient selection for surgery, applied treatment methods, and surgeon's experience. Prolonged air leak is a primary problem in surgery. 1 Many techniques and equipment are used to prevent this condition. In the present study the aim was to investigate surgical treatment outcomes in bullous lung disorders complicated by pneumothorax and the effect of collagen matrix tissue supporter made of bovine pericardium and polyethylene glycol (PEG) tissue glue on prolonged air leak and complications in patients with bullous emphysema leading to secondary spontaneous pneumothorax (SSP). METHODOLOGYThe medical records of 179 patients with SSP from January 2010 to December 2018 were retrospectively reviewed. Sixty patients with radiologically confirmed bullous emphysema, who underwent surgery, were enrolled. Nineteen patients, who were treated with tube thoracostomy, thoracentesis, or nasal oxygen alone, were excluded. The patients were randomly selected in terms of age and gender, regardless of bullous emphysema and lung parenchyma. The patients were grouped into three groups: Group 1 included 20 patients that underwent wedge resection with an endostapler supported by Peristrips made of bovine pericardium; Group 2 contained 18 patients that were applied Coseal tissue glue at the suture line after being operated with wedge resection with endostapler. Group 3 contained 22 patients that were applied Coseal tissue glue to the stapler line after being operated with wedge resection while the endostapler line was supported by Peristrips. Considering that persisting air leak from chest tube and

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The effect of fibrin sealant spraying on prolonged air leak after pulmonary resections: a single center experience

Cited by 2 publications

References 20 publications

Role of Surgical Glue in Persistent Air Leak in Spontaneous Pneumothorax

Role of Surgical Glue in Persistent Air Leak in Spontaneous Pneumothorax

Efficacy of Surgical Tissue Glues and Supporters for Treatment of Prolonged Air Leaks in Bullous Emphysema

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