[Treatment of recurrent pneumothorax applying fibrin adhesive under endoscopy].
Recurrent or chronic pneumothorax may be treated by thoracoscopy and the administration of substances to achieve a symphysis. Several substances have been tried and amongst these talc currently gives the best result. This study looked at the action of a fibrin adhesive (Tissucol) administered through a thoracoscope to achieve a pleural symphysis. 32 patients were treated, all suffering from recurrent pneumothoraces and a thoracoscopy was carried out under local anaesthetic using the standard technique, the Tissucol was spread over the apico-axillary region in a dose of 2 ml. After one year's follow up a success rate of 75% was noted. If category IV pneumothorax was excluded (bullous dystrophy) the percentage of favourable results was 35%. The painless nature of Tissucol applications was noted and this method thus gives satisfactory results in pneumothorax where there is no apparent bullous dystrophy and perhaps can be used as a therapeutic technique during a thoracoscopy where important bullous dystrophy is not noted as the cause of the pneumothorax.
Guérin
J C
JC
Hôpital de la Croix-Rousse, Lyon.
Van Derschueren
R G
RG
D000293:Adolescent; D000328:Adult; D002986:Clinical Trials as Topic; D004341:Drug Evaluation; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000188:drug therapy*; D012008:Recurrence; D013906:Thoracoscopy
D015718:Fibrin Tissue Adhesive
Traitement des pneumothorax récidivants par application de colle de fibrine sous endoscopie.