Persistent air-leak following pulmonary resection

Buttressing Staples with Cholecyst-derived Extracellular Matrix (CEM) Reinforces Staple Lines in an Ex Vivo Peristaltic Inflation Model

“…Persistent air leakage after lung resection is commonly reported. 8 More complications are anticipated as these surgical stapling devices are gaining popularity in other specialties including gynaecological, 9,10 and hepatobiliary 11 procedures.…”

Successful treatment of persistent postoperative air leaks following the placement of an endobronchial one-way valve

“…In conclusion, these results suggest that the endoscopic placement of EBV is a valid option to help resolve difficult air leakage situations, reducing the length of hospitalisation and health-care costs [1][2][3]. Several investigators [15][16][17][18][19] have reported the use of this valve in the management of persistent air leaks following many pulmonary diseases; they describe complex clinical cases in which nonsurgical intervention was most appropriate.…”

“…Persistent air leaks can occur after pulmonary resection or in a variety of pulmonary pathological conditions [1]. Treatment and outcome depend on the cause, the quality of the lung and the clinical status of the patients.…”

Pathophysiology of Extravascular Water in the Pleural Cavity and in the Lung Interstitium After Lung Thoracic Surgery

“…The corresponding decrease in pleural pressure would increase fluid filtration so that, over time, liquid will replace gas. Air leak after pulmonary resection may be due to bronchopleural or bronchoalveolarpleural fistulas (Rice et al, 2002) due to failure to obtain a perfect surgical seal. An estimate of air leak would be useful to decide about chest drainage removal, however the methods of detecting air bubbles along the chest tube during forced expiratory maneuvers appears rather imprecise, while more refined methods are available (Varela et al, 2009).…”