[Fibrin glue. A new treatment technic in persistent recurrent spontaneous pneumothorax].
The treatment of choice in idiopathic spontaneous pneumothorax is continuous suction drainage by chest tube for 8--10 days. If this method is not successful, i.e., in patients with a persistent or recurrent pneumothorax, an attempt can be made to produce local pleural adhesions by means of a special fibrin glue, especially in patients with poor general condition. This fibrin glue pleurodesis was performed successfully in seven patients, four of them having a persistent, two a recurrent, and one an iatrogenic pneumothorax. Six of them are now, 3--10 months after therapy, without a recurrence and free of discomfort. One patient died 6 days after treatment from a cerebral stroke. Autopsy showed fibrinous adhesions in the area of the upper lobe. Good tissue compatibility was confirmed histologically.
D000328:Adult; D000368:Aged; D004322:Drainage; D005069:Evaluation Studies as Topic; D005260:Female; D005337:Fibrin; D006801:Humans; D008297:Male; D008722:Methods; D010994:Pleura; D011030:Pneumothorax / Q000601:surgery*; D012008:Recurrence; D014014:Tissue Adhesives
D014014:Tissue Adhesives; D005337:Fibrin
Fibrinklebung. Eine neue Behandlungsmethode beim persistierenden und rezidivierenden Spontanpneumothorax.