[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.
Ueda
Shinsaku
S
Department of Thoracic Surgery, Miyagi Cardiovascular & Respiratory Center, Kurihara, Japan.
Isogami
K
K
Kobayashi
S
S
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