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Rivista di Chirurgia Cardiaca, Vascolare e Toracica

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The Journal of Cardiovascular Surgery 2002 February;43(1):135-7

lingua: Inglese

The role of autologous blood injection on postoperative air leak at lung resections

Catalyurek H., Silistreli E., Hepaguslar H. *, Kargi A. **, Açikel Ü.

From the Department of Thoracic and Cardiovascular Surgery
*Department of Anesthesiology
**Department of Pathology
Dokuz Eylül University School of Medicine, Izmir, Turkey


Background. The ­effects of autol­o­gous ­blood injec­tion ­beneath the sta­pling ­lines on post­op­er­a­tive air ­leak ­after ­lung resec­tions, espe­cial­ly in emphy­se­ma­tous ­lungs, ­were pros­pec­tive­ly inves­ti­gat­ed.
Methods. The ­study was car­ried out on 16 ran­dom­ized ­patients. The ­mean age of the ­study ­group was 58 and the ­mean ­forced expir­a­to­ry vol­ume at one sec­ond (FEV1) at the spi­rom­e­try was 2.05 L. In the con­trol ­group, the ­mean age was 60 and the ­mean FEV1 was 1.97 L. All 16 cas­es ­were ­males and had a his­to­ry of smok­ing. In the ­study ­group, 10-20 ml of autol­o­gous ­venous ­blood was ­drawn by the anes­the­sist and trans­ferred to the oper­a­tion ­team. The ­blood was gent­ly inject­ed under­neath the sta­ple ­line and ulti­mate­ly 1 cm thick­ened ­layer of the ­lung was ­obtained. In the con­trol ­group ­only sta­plers ­were ­applied.
Results. There was no air ­leak at the end of the oper­a­tion at the ­study ­group, where­as addi­tion­al ­sutures ­which ­were pled­get­ted ­with Gore-tex patch­es ­were need­ed at ­four cas­es at the con­trol ­group. There ­were min­i­mal air ­leaks at ­three cas­es at the con­trol ­group at the post­op­er­a­tive peri­od, ­while ­there was no post­op­er­a­tive air ­leak prob­lem at the ­study ­group. Thorax ­tubes were ­removed at the 3rd and the 3.9th ­days at the ­study and the con­trol ­groups, respec­tive­ly.
Conclusions. We ­believe ­this sim­ple and ­cheap meth­od ­could be ­used at ­least in ­some instanc­es ­where addi­tion­al sta­ple rein­force­ment ­would be nec­es­sary. It may ­also be remem­bered ­when air ­leaks are encoun­tered at ­suture ­holes ­after sutur­ing the ­lung.

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