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Chirurgia 2010 October;23(5):165-6

language: English

Method for covering the pulmonary staple line after VATS for spontaneous pneumothorax: use of a polyglycolic acid felt fixed by direct suturing

Inoue Y. 1, Suga A. 1, Yamada S. 1, Iwazaki M. 2

1 Department of General Thoracic Surgery, Tokai University Hachioji Hospital, Ishikawa-cho, Hachioji, Tokyo, Japan
2 Department of General Thoracic Surgery, Tokai University School of Medicine, Bohseidai, Isehara, Kanagawa, Japan


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The postoperative recurrence rate of primary spontaneous pneumothorax after video-assisted thoracoscopic surgery remains high. To reduce the rate of recurrence of postoperative pneumothorax, the usefulness of covering the stapled pulmonary edges with an absorbable sheet and fibrin glue has been reported. However, we often hesitate to use fibrin glue in young healthy adults, because of the potential risk of transmission of bloodborne infection. Here, we introduce a simple method to cover the stapled pulmonary edges with an absorbable mesh and fix it by direct suturing instead of with fibrin glue.

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