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- Comparative Studies Using a Rigid Thoracoscope and Fiberoptic Bronchoscope to Iteat Spontaneous Pneumothorax (9)

Comparative Studies Using a Rigid Thoracoscope and Fiberoptic Bronchoscope to Iteat Spontaneous Pneumothorax (9)In one (case 8) of the two cases with multiple blebs where recurrence occurred at one and three months after treatment, we repeated therapy using high-frequency electrocoagulation. In the other case (case 10), thoracotomy was performed after readmission of the patient. In a total of eight cases that included two cases (cases 12 and 18) of giant blebs (greater than 4 cm diameter) and six cases (cases 13 to 17 and 19) of extensive and multiple blebs, we thought that high-frequency electrocoagulation therapy alone was inadequate therapy.

Therefore, initially or following high-frequency electrocoagulation, we injected 1 ml of a fibrinogen solution and 1 ml of a thrombin solution into the blebs or sprayed 5 to 10 ml of each solution onto the surface of the blebs. In seven out of eight cases, improvement and discharge followed, while in the remaining case, thoracotomy was required. In 1 out of the 7 patients who improved and were discharged, but recurrence occurred 1 month later, thoracotomy was performed; however, in the remaining six cases, no recurrence has occurred after 3 to 14 months (average of 8.7 months). The frequency of thoracotomy during this period was 4 out of 39 cases (10 percent), which is a marked decrease from the period when we were using a rigid thoracoscope.

June 16, 2013 Rigid Thoracoscope
Tags: conservative therapies rigid thoracoscope spontaneous pneumothorax thrombin solutions