Volume 6, Issue 2, March 2020, Page: 17-22
Pleuroplastic Inlay with Autologous Blood Versus Gel-foam Slurry as Innovative Remedies for Trapped Lung
Ahmed Mohammed Abumossalam, Chest Medicine Department, Faculty of Medicine, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt
Asem Abdelhamid Hewidy, Chest Medicine Department, Faculty of Medicine, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt
Received: Apr. 6, 2020;       Accepted: Apr. 22, 2020;       Published: Jun. 9, 2020
DOI: 10.11648/j.ijcts.20200602.11      View  47      Downloads  26
Background: Residual pleural air following chronic empyema and intrapleural interventions implies a disgusting issue for restoration of pleural contour. Aim of work: This work was to assess the efficacy and safety of intrapleural instillation of patient autologous blood versus gel-foam slurry for obliteration and reduction of volume of residual pleural space following chronic empyema and pleural interventions as well as limitation of long term complications and as a substitute for surgical decortication. Patients and methods: This study was conducted on 28 patients with trapped lung due to chronic empyema after intercostal tube placement and were divided according to the instilled material into three groups: group A, included 9 patients who were instilled with autologous blood, group B; included 9 patients who were instilled with gel-foam slurry, group C, included 10 patients who were treated with oral Alphintern tablets three times daily for two month. Results: pulmonary functional evaluation showed that 50% reduction of total lung capacity (TLC) defect by > 75% in group A and > 65% in group B. Besides 50% reduction of computed chest tomography CT radiological volumetry was detected by > 65% in group A and by > 55% in group B while opacification of residual pleural space was found in more than 75% in group A and 85% of group B. Group C showed coalescence of pleural layers in 20% of cases. Conclusion: Intrapleural instillation of autologous blood and gel-foam slurry for obliteration of residual pleural space was associated with a reduction of (CT) chest volumetry and pulmonary function improvement.
Trapped Lung, Gelfoam, Thoracoscopy, Autologous Blood
To cite this article
Ahmed Mohammed Abumossalam, Asem Abdelhamid Hewidy, Pleuroplastic Inlay with Autologous Blood Versus Gel-foam Slurry as Innovative Remedies for Trapped Lung, International Journal of Cardiovascular and Thoracic Surgery. Vol. 6, No. 2, 2020, pp. 17-22. doi: 10.11648/j.ijcts.20200602.11
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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