[Uncomplicated covering technique for preventing the recurrence in the thoracoscopic surgery for pneumothorax].
Reinforcement of the visceral pleura along the stapled line and prevention of lung-chest wall adhesion is supposed to decrease the recurrence rate of video-assisted thoracoscopic surgery (VATS) for spontaneous pneumothorax. Covering over the stapled line with an absorbable mesh; polyglycolic acid and regenerative oxidized cellulose mesh, and a fibrin glue is recognized useful for that, although, it tends to be troublesome in VATS procedure. In this article, we present the knack of the covering method: (1) installation of the absorbable mesh on the visceral pleura; a folded absorbable mesh is hold with the endoscopic autosuture or grasping foreceps and placed on the pleura without curling up; (2) installation of a fibrin glue over the pleura and the mesh using a rubbing device (U-rod); each of the fibrinogen solution and the thrombin solution are applied and rubbed on the pleura and the mesh. Surgeons can perform them without any complicated technique.
Department of Thoracic Surgery, Miyagi Cardiovascular & Respiratory Center, Kurihara, Japan.
Shinsaku
S
Ueda
K
K
Isogami
S
S
Kobayashi
D015718:Fibrin Tissue Adhesive; D006801:Humans; D010994:Pleura / Q000601:surgery; D011030:Pneumothorax / Q000517:prevention & control / Q000601:surgery*; D011100:Polyglycolic Acid / Q000627:therapeutic use; D012008:Recurrence; D013526:Surgical Mesh; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*
D015718:Fibrin Tissue Adhesive; D011100:Polyglycolic Acid