Ventolin Inhalers

- Comparative Studies Using a Rigid Thoracoscope and Fiberoptic Bronchoscope to Iteat Spontaneous Pneumothorax (14)

There are only a few reports in which thoracoscopy using the FB and a rigid thoracoscope are compared. Moreover, most of the reports pertain to the diagnosis of diseases complicated by pleural fluid. To our knowledge, there are no reports comparing SPECT to a FB. Regarding the diagnosis of diseases complicated by pleural fluid, Senno et al recommended the use of the FB to facilitate the discovery of lesions. On the other hand, Oldenburg and Newhouse reported that a rigid thoracoscope is better for accurate biopsies, while Sarkar et al stated that biopsy using a FB is not only possible but superior to a rigid thoracoscope.
Of 19 cases of spontaneous pneumothorax where thoracoscopy was performed using an outer sheath and a FB, we thought that in 2 cases of giant blebs and 6 cases of extensive blebs, high-frequency electrocoagulation alone would not be adequate therapy. Although Takeno tried coagulation with hot air for the treatment of blebs, he did not report therapeutic effectiveness. In our cases of giant blebs and extensive blebs, where we believed coagulation would not be effective, or when blebs had obvious punctures, we injected a 4 percent fibrinogen solution and thrombin solution into the blebs using a FB topical injection syringe in an attempt to gain intrableb adhesion or sprayed the surfaces of blebs with fibrinogen solution and thrombin solution to stop air leakage. The spraying technique causes topical pleural adhesion, possibly stopping the air leakage. Only two out of eight cases were unsuccessful or recurrent. Consequently, we believe that it is an effective alternative to highfrequency electrocoagulation therapy.

June 21, 2013 Rigid Thoracoscope
Tags: conservative therapies rigid thoracoscope spontaneous pneumothorax thrombin solutions