Postoperative strategies to treat permanent air leaks.

Abstract:

:Air leakage after pulmonary resections is considered the most prevalent postoperative problem, and it is often the only morbidity identified. Ideally, treatment begins with prevention; the onset of this complication should be anticipated and recognized during surgery, and intraoperative strategies should be attempted to avoid it and reduce the impact on the clinical course. Once an air leak develops, in most of the cases it seals spontaneously within 2 or 3 days of operation. When it persists, it might elicit the onset of other complications and increase costs and length of hospitalization. The postoperative approaches to a prolonged air leak include management of the pleural drainage and residual space, pleurodesis, pneumoperitoneum, endobronchial one-way valve placement, and potential reoperation.

journal_name

Thorac Surg Clin

journal_title

Thoracic surgery clinics

authors

Venuta F,Rendina EA,De Giacomo T,Coloni GF

doi

10.1016/j.thorsurg.2010.03.004

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

391-7

issue

3

eissn

1547-4127

issn

1558-5069

pii

S1547-4127(10)00046-0

journal_volume

20

pub_type

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