scholarly journals Treatment of a Prolonged Air Leak with Radiotherapy: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Erdoğan Çetinkaya ◽  
M. Akif Özgül ◽  
Şule Gül ◽  
Ertan Çam ◽  
Yakup Büyükpolat
Keyword(s):  
Case Report ◽  
Surgical Procedures ◽  
Oxygen Therapy ◽  
Pleural Space ◽  
Tube Thoracostomy ◽  
Air Leakage ◽  
Air Leak ◽  
The Third ◽  
Ventilation Scintigraphy ◽  
Prolonged Air Leak

Pneumothorax is defined as air in the pleural space. Depending on the severity of the pneumothorax, treatment consists of oxygen therapy, simple aspiration, tube thoracostomy, and pleurodesis. Prolonged air leakage is observed in 25% of the patients who have undergone surgical procedures, such as thoracotomy, pleurectomy, and video-assisted thoracoscopy. The patient presented here is the third reported case successfully treated with radiotherapy. Ventilation scintigraphy was used to localise the air leak, and localised radiotherapy was performed at the targeted location. After radiotherapy, the air leak ceased and at the 3-month followup, the pneumothorax had not recurred. Radiotherapy can be a treatment modality for patients with prolonged air leak, who are not candidates for surgery.

scholarly journals PROLONGED AIR LEAK AFTER LUNG RESECTION

2018 ◽  
Vol 3 (4) ◽  
pp. 36-40
Author(s):  
E A Korymasov ◽  
A S Benyan
Keyword(s):  
Lung Resection ◽  
Drainage System ◽  
Diagnostic Algorithm ◽  
Air Leakage ◽  
Air Leak ◽  
Prolonged Air Leak ◽  
Common Causes ◽  
Resection Line ◽  
Lung Resections

Objectives - to analyze the causes of postoperative air leak and to propose a therapeutic and diagnostic algorithm for this complication. Material and methods. The study includes the analysis of the prolonged air leak causes after various lung resections, the classification of the causes according to their affiliation, the designed definitions of basic concepts. Results. The most common causes of prolonged air leakage are the incompetence of the lung resection line, the undetected (unresolved) cause of pneumothorax, the inadequate drainage system function. Various tactical approaches to this problem were described. Depending on the effectiveness of the auxiliary techniques, the indications for repeated operations were determined. Conclusion. Knowledge of the causes of postoperative prolonged pathological air leak is the basis for the optimal management of patients after lung resection.

Applying Fibrin Glue under Pleurography for Intractable Secondary Spontaneous Pneumothorax

2019 ◽  
Author(s):  
Jeong Cho ◽  
Yeong Kim ◽  
Hoseok I. ◽  
Jung Eom ◽  
Hyo Ahn
Keyword(s):  
Fibrin Glue ◽  
Spontaneous Pneumothorax ◽  
Air Leakage ◽  
Air Leak ◽  
Short Term ◽  
Secondary Spontaneous Pneumothorax ◽  
Prolonged Air Leak ◽  
Postoperative Drainage ◽  
The Mean

Background Prolonged air leakage is a problem that can frequently develop in patients with a secondary spontaneous pneumothorax (SSP) or in those who undergo thoracic surgery. However, the management of an air leak is difficult and reoperation might be avoided due to several reasons including adhesions. Herein, we introduce a fibrin glue application under pleurography (FGAP) and short-term outcomes in patients who underwent this procedure. Methods FGAP was performed in 20 patients with an intractable persistent air leakage who had poor lung function, comorbidities to undergo general anesthesia and were expected severe adhesions due to previous surgery. All medical records were retrospectively reviewed. Results Eighteen cases sealed soon after dropping the glue. One patient had a prolonged air leak for 12 days and another patient required an operation to control air leakage 16 days after the procedure. The mean duration of postoperative drainage was 4.17 ± 2.11 days (range: 3–14 days). No postprocedural complications were recorded. The mean duration of follow-up was 12.01 ± 5.02 months (range: 4–22 months). Conclusion FGAP could be a treatment option to seal air leaks, especially in cases with intractable air leakage.

scholarly journals Influence of suction on prolonged air leak after VATS lobectomies: a prospective randomized study

2020 ◽  
pp. 14-19
Author(s):  
O. S. Maslak ◽  
V. G. Pischik ◽  
A. D. Obornev ◽  
E. I. Zinchenko ◽  
A. I. Kovalenko
Keyword(s):  
Thoracoscopic Surgery ◽  
Controlled Trial ◽  
Lung Resection ◽  
Randomized Study ◽  
Pleural Space ◽  
Control Group ◽  
Parietal Pleura ◽  
Air Leak ◽  
Prolonged Air Leak ◽  
Water Seal

Background. Prolonged air leak is the most common postoperative complication following lung resection. Despite the huge number of researches concerning this problem, no consensus exists regarding the choice of the appropriate method of pleural space drainage after thoracoscopic surgery.Objective. To compare suction and water-seal regarding their influence on the incidence of prolonged air leak.Material and Methods. This prospective randomized trial included sixty patients who underwent VATS lobectomies on different diagnoses in the Center for Thoracic Surgery, Clinical Hospital no. 122 (St. Petersburg) from September 2018 until May 2020. The open-label randomized controlled trial involved two groups: control group (water-seal drainage) and suction group. Each group consisted of thirty patients. Ten patients were discharged with a Heimlich valve.Results. The incidence of prolonged air leak was 23%. Patients in the suction group had a higher duration of air leak than those in the control group (5.3 ± 1.3 vs 3.7 ± 0.9 days, р = 0.04). The number of air leak cases was slightly higher in the suction group (8 and 6 patients); however, the difference was not significant (р = 0.57). Both groups had no difference in the number of complications (р = 0.2). There were no cases of reoperation.Discussion. The advantage of water-seal is a lower risk of parenchymal defects. Suction may increase holes in visceral pleura, cause hyperexudation, leading to prolonged duration of drainage. At the same time, the use of suction may decrease residual pleural spaces, match visceral and parietal pleura, which may decrease the duration of air leak. A lot of studies on this issue was performed, however, their results are contradictory.Conclusion. Drainage of pleural space after VATS lobectomies may be safely performed with water-seal. In the case of increasing surgical emphysema or appearance of progressive dyspnea, suction should be applied

Case Report of a large family with hyperparathyroidism- jaw tumor syndrome (HPT-JT) and a deletion of the third exon of CDC73

2019 ◽  
Author(s):  
Collen Lauriane Le ◽  
Sara Barraud ◽  
Odou Marie Francoise ◽  
Marta Spodenkiewicz ◽  
Antoine Braconnier ◽  
...  
Keyword(s):  
Case Report ◽  
Large Family ◽  
The Third

A Case of Sparganosis Mansoni Manifesting as Creeping Eruption-The Third Case Report in Okinawa-

2012 ◽  
Vol 74 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Naoko NAKASONE ◽  
Eriko UEHARA ◽  
Masataka KORENAGA ◽  
Sayaka YAMAGUCHI ◽  
Kenzo TAKAHASHI ◽  
...  
Keyword(s):  
Case Report ◽  
The Third ◽  
Creeping Eruption

Hyperbaric oxygen therapy as treatment for bilateral arm compartment syndrome after CrossFit: case report and literature review

2018 ◽  
Vol 45 (2) ◽  
pp. 209-215 ◽  
Author(s):  
Adriano Fernando Mendes Jr. ◽  
◽  
José da Mota Neto ◽  
Erica Maciel Heringer ◽  
Leandro Furtado de Simoni ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Compartment Syndrome ◽  
Hyperbaric Oxygen ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy
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