Fibrin Sealing in Surgical and Nonsurgical Fields: Volume 6: Cardiovascular Surgery. Thoracic Surgery PDF
Preview Fibrin Sealing in Surgical and Nonsurgical Fields: Volume 6: Cardiovascular Surgery. Thoracic Surgery
6 Fibrin Sealing in Surgical and Nonsurgical Fields Volume G. Schlag E. Wolner E Eckersberger (Eds.) Cardiovascular Surgery Thoracic Surgery With 51 Figures, Some in Color, and 46 Tables Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Hong Kong Barcelona Budapest Univ.-Prof. Dr. GUNTHER SCHLAG Ludwig-Boltzmann-Institut fUr experimentelle und klinische Traumatologie DonaueschingenstraBe 13, 1200 Wien Austria Univ.-Prof. Dr. ERNSTWOLNER II. Universitatsklinik fiir Chirurgie Spitalgasse 23, 1090 Wien Austria Univ.-Prof. Dr. FRANZ ECKERSBERGER II. Universitatsklinik fUr Chirurgie Abteilung fiir Herz-Thoraxchirurgie Wahringer Giirtel18-20, 1090 Wien Austria ISBN-13: 978-3-540-58381-3 Library of Congress Cataloging-in-Publication Data. Cardiovascular surgery - thoracic surgery / G. Schlag, E. Wolner, E Eckersberger, (eds.). p. cm. - (Fibrin sealing in surgical and nonsurgical fields; v. 6) Includes index. ISBN-13 :978-3-540-58381-3 e-ISBN-13 :978-3-642-79227-4 DO I: 10.1007/978-3-642-79227-4 1. Cardiovascular system - Surgery. 2. Chest- Surgery. 3. Fibrin tissue adhesive. 1. Schlag, Giinther. II. Wolner, E. III. Eckersberger, E (Franz), 1950 -. IV. Series. [DNLM: 1. Fibrin Tissue Adhesive - therapeutic use - congresses. 2. Cardiovascular System - surgery - congresses. 3. Thoracic Surgery - congresses. WH 310 C2671994] RD78.F52F53 1994 vol. 6 [RD598] 617.1'406 s - dc20 [617.4'1] This work is subject to copyright. All rights are reserved whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the Ger man Copyright Law. © Springer-Verlag Berlin Heidelberg 1995 The use of general descriptive names, registered names, trademarks, etc. in this publicati,on does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dos age and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Typesetting: Mitterweger, Plankstadt SPIN: 10428179 23/3130 5 4 3 2 1 0 - Printed on acid-free paper. Preface These eight volumes, which developed out of the international congress "Update and Future Trends in Fibrin Sealing in Surgical and Nonsurgical Fields" held in November 1992, present the state of the art in fibrin sealing. Initially, fibrin sealant played an important role in surgery. During the past few years, it has been increasingly applied nonsurgically and we can now say that it has become an integral component of medical treatment. The doubts which have been raised by nonusers about the efficacy of fibrin sealant are no longer valid. The correct indication and technique continue to be basic prerequisites for effective treatment. Even today - 20 years after fibrin sealant was first used - the three most prominent effects of fibrin sealant are still hemostasis, sealing of the wound, and support of wound healing. The problems posed by the transmission of viral infections have gained substantially in importance because of the potential transmission of AIDS via fibrin sealant. Fortunately, this is so unlikely today that it no longer represents a cause for concern, which does not mean, however, that research in this field can be discontinued. Seven years have passed since the last series of books on fibrin sealing were published. Since then many new results have been obtained, in particular in the field of cardiovascular surgery. The contributions in one section of this volume deal with different applications of fibrin sealant in this special field of surgery; for example, postoperative bleeding after cardiovascular surgery, in particular in reoperations. Fibrin sealant, applied by spray, significantly de creases postoperative bleeding. Similar results are reported in heart trans plantations. Fibrin sealant has also proved very useful in cardiomyoplasties. The interaction between fibrin sealant and endothelial cells has also been dis cussed: endothelial cells can grow on a layer of fibrin sealant and maintain their normal function. Fibrin sealant has proved to be a helpful tool in thoracic surgery, too. The contributions in another part of this book present new indications in this field, such as percutaneous needle biopsy, treatment of large bullae, and new methods of treatment in bronchus stump insufficiency. We, the editors, would like to thank all the authors for their cooperation and excellent contributions and photographs. Their work has made publication of these eight volumes on fibrin sealing possible. Special thanks are due to Dr. V. Gebhardt and his expert colleagues for efficient and constructive VI Preface cooperation in the publication of these books at the Springer publishing com pany and Gudrun Schrodt for her untiring efforts in obtaining manuscripts, proof reading, and corresponding with the authors. G.SCHLAG E.WOLNER F. ECKERSBERGER Contents I. Cardiovascular Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1 Blood Saving Strategies and Results of Fibrin Sealing in Cardiovascular Surgery H. R. LAUBE, R. SOEPARWATA, and H. H. SCHELD . . . . . . . . . . . . . . . .. 3 Reduction of Perioperative Hemorrhage by Anterior Mediastinal Spray Application of Fibrin Glue During Cardiac Reoperations R. BURGos, C. G. MONTERO, G. PRADAS, and G. TELLEZ . . . . . . . . . . .. 13 Randomized Clinical Trial of Fibrin Sealant in Cardiac Surgery Patients Undergoing Resternotomy or Reoperation: A Multicenter Study J. Rousou, S. LEVITSKY, L. GONZALEZ-LAVIN, D. COSGROVE, D.MAGILLIGAN, C. WELDON, c.HIEBERT, P.REss, L.JOYCE, J. BERGSLAND, and A. GAZZANIGA . . . . . . . . . . . . . . . . . . . . . . . . .. 19 Fibrin Sealant: The Cleveland Clinic Experience P.M.McCARTHY, J.BoRsH, and D.M.CoSGRovE ................. 34 The Use of Fibrin Glue in Thoracic Organ Transplantation: Analysis of 4-Year Experience L. MARTINELLI, C. PEDERZOLLI, M. RINALDI, A. GRAFFIGNA, N. PEDERZOLLI, and M. VIGANO . . . . . . . . . . . . . . . . . . . . . . . . . . .. 38 Reduced Postoperative Bleeding Following Use of Tisseel Fibrin Sealant in 300 Patients Undergoing Open-Heart Surgery T. M. KIESER, A.MAITLAND, L.PARSONS, L.DAVISON, and R. C. WOODMAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 43 Fibrin Sealant Application to Improve Cardiomyoplasty Management R.LoRusso, O.ALFIERI, T.VANDERNAGEL, J.HABETS, M.HAVENITH, EVANDER VEEN, and O.C.PENN .......................... , 55 The Importance of Fibrin Sealing in the Development of Surgical Treatment of Aneurysms of the Aortic Root Ch.HuTH .......................................... 64 VIII Contents Fibrin Glue in Internal Mammary Artery Harvesting W. WANDSCHNEIDER, M. THALMANN, and M. DEUTSCH . . . . . . . . . . . . .. 77 Effect of Fibrin Sealants on Growth and Adhesion of Human Endothelial Cells H.A.HENRlCH, B.STITz, and ECONRAD . . . . . . . . . . . . . . . . . . . . .. 80 Endothelialization of Fibrin-Sealed Aorta Implants H.A.HENRICH, ECONRAD, R.SILBER, and J.DAMMRICH. . . . . . . . . . .. 91 D. Thoracic Surgery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 99 Fibrin Sealant in Tracheobronchial Surgery E ECKERSBERGER, M. R. MULLER, and E. WOLNER . . . . . . . . . . . . . . . . 101 Applications of Fibrin Glue in Pulmonary Surgery Y.YAMAGUCm ....................................... 108 The Importance of Biological Glue for the Prevention of Air Leakage in Pulmonary Surgery M.DAHAN, J.BERJAUD, EMAzERES, and O.IKE ................. 113 Fibrin Sealant in Minimally Invasive Thoracic Surgery: Indications and Early Results R.INDERBITZI, M.FuRRER, andA.LEIsER ..................... 117 Thoracoscopy in the Treatment of Primary Recurrent Spontaneous Pneumothorax A. SANCHEZ-PALENCIA RAMOS, E SUERO MOLINA, A. CUETO LADRON DE GUEVARA, and C. MORALES GARCIA. . . . . . . . . . . 124 The Use of Fibrin Glue in Thoracoscopic Surgery O.THETTER, J.WEIPERT, and C.B.REININGER ................... 131 Videothoracoscopic Bullectomy and Biological Pleurodesis in Spontaneous Pneumothorax G.GOTTI, P.PALADINI, and M.M.HAID ....................... 135 Thoracoscopic Treatment of Recurrent Pneumothorax with Fibrin Sealant P. SCHLIMMER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138 Subpleural Thoracoscopic Applications of Fibrin Glue in Pneumothorax P.L.B6LCSKEI and M.WAGNER ............................. 143 Application of Fibrin Glue in the Operative Treatment of Chylothorax H.-R.ZERKOWSKI, K.HAKIM, EROTER, G.RoTH, and J.Chr.REIDEMEISTER ................................ 148 Fibrin Glue Pleurodesis for Malignant Pleural Effusions E.MEISSNER, J.NIEDERMEYER, and H.FABEL ................... 155 Contents IX Fibrin Pleurodesis for Palliative Treatment of the Malignant Pleural Effusion R. LAuMEN, P. VACHA, and H. G. VELCOVSKY. . . . . . . . . . . . . . . . . . . . 159 Percutaneous Needle Biopsy: Fibrin Glue to Prevent Complications T.PETSAS, D.DoUGENIS, C.GIANNAKENAS, C.SKOPA, J.SPILIOTIS, and I. FEZOULIDIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162 Successful Thoracoscopic Treatment of Large Bullae with Tisseel in Patients with Grave Obstructive Lung Disease G. HILLERDAL, G. GUSTAVSSON, G. WEGENIUS, S. ENGLESSON, H.HEDENSTROM, G.HEDENSTIERNA, and B.HoLMSTEDT ............. 169 ill. Bronchoplenral Fistula . ............................. 175 Bronchopleural Fistulas: Management of Fistulas with Specially Prepared Spongiosa in Combination with Fibrin Sealant N.PRIDUN, H.HAUCK, and P.HOLLAUS ....................... 177 Postpneumonectomy Bronchial Fistula F. J. GARCIA DIAZ, J. AYARRA JARNES, A. RICO ALVAREZ, R.JIMENEZ MERcAN, C.ARENAS LINARES, J.M.CuAREsMAFERRETE, and J. LOSCERTALES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180 Treatment of Postoperative Bronchial Fistulas by Endoscopic Fibrin Application H.D.BECKER ....................................... 186 Postoperative Bronchial Stump Fistula: Treatment with Fibrin Glue and Spongy Bone Graft H. WERTZEL, L. SWOBODA, R. BONNET, and J. HASSE. . . . . . . . . . . . . . . 194 Bronchial Stump Insufficiency and Its Treatment L. LAMPL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201 Bronchial Stump Protection and Incidence of Bronchopleural Fistula G. GOTTI, M.M.HAID, P.PALADINI, L. VOLTOLINI, M.DI BISCEGLIE, and G. BIAGI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204 Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207 List of Contributors ALFIERI, O. IIa Divisione Cardiochirurgica, Ospedale Civile, Piazzale Spedali Civili 1, 25125 Brescia, Italy ARENAS LINARES, C. Hosp. Universitario Virgen de la Macarena, Avda. Dr. Fedriani 3, 41071 Sevilla, Spain AYARRAJARNES, J. Hosp. Universitario Virgen de la Macarena, Avda. Dr. Fedriani 3, 41071 Sevilla, Spain BECKER, H.D. Abteilung rur Innere MedizinlOnkologie und Endoskopie an der Thoraxklinik der LVA - Baden, AmaIienstraBe 5, 69126 Heidelberg, Germany BERGSLAND, J. Buffalo General Hospital, Buffalo, NY, USA BERJAUD, J. Department of Thoracic Surgery, CHU PURPAN, 31059 Toulouse Cedex, France BIAGI, G. Istituto di Chirurgia Toracica e Cardiovascolare, Universita di Siena, Viale Bracci, 63100 Siena, Italy BOLCSKEI, P.L. Klinikum Niirnberg Nord, Medizinische Klinik 3, Schwerpunkt Pneumologie, FlurstraBe 17, 90340 Niirnberg, Germany BONNET, K. Klinikum der Albert-Ludwigs-Universitat, Abt. Lungenchirurgie, HugstetterstraBe 55, 79106 Freiburg, Germany BORSH, J. Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, One Clinic Center, Cleveland, Ohio 44195, USA XII List of Contributors BURGOS LAzARO, R. Servicio di Cirugia Cardiovascular y Toracica, Clinica Puerta de Hierro, Universidad Autonoma de Madrid, San Martin de Porres 4, 28008 Madrid, Spain CONRAD, F. Chirurgische UniversiHitsklinik, Abteilung Experimentelle Chirurgie, Josef Schneider-StraBe 2, 97080 Wiirzburg, Germany COSGROVE, D.M. Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, One Clinic Center, Cleveland, Ohio 44195, USA CUARESMAFERRETE, J.M. Hosp. Universitario Virgen de la Macarena, Avda. Dr. Fedriani 3, 41071 Sevilla, Spain CUETO LAD RON DE GUEVARA, A. Thoracic Surgery Unit, "Virgen da las Nieves" General Hospital, Avda. de las Fuerzas Armadas sIn., Granada, Spain DAMMRICH, J. Pathologisches Institut der Universitat Wiirzburg, Josef-Schneider-StraBe 2, 97080 Wiirzburg, Germany DAHAN, M. Department of Thoracic Surgery, CHU PURPAN, 31059 Toulouse Cedex, France DAVISON, S. Faculty of Medicine, University of Calgary, Foothills Hospital, 14023 - 29th St. N.W. Calgary, AB TIN 2T9, Canada DEUTSCH, M. Department of Cardiovascular Surgery, Lainz Hospital, Wolkersbergenstr.1, 1133 Vienna, Austria DI BISCEGLIE, M. Istituto di Chirurgia Toracica e Cardiovascolare, Universita di Siena, Viale Bracci, 53100 Siena, Italy DOUGENIS, D. Department of Surgery - Cardiothoracic Unit, Regional University Hospital of Patras, Rion-Patras 265.00, Greece ECKERSBERGER, F. II. Universitatsklinik flir Chirurgie, Abteilung flir Herz-Thoraxchirurgie, Wahringer GiirteI18-20, 1090 Vienna, Austria ENGLESSON, S. Department of Anesthesiology, University Hospital, 751 85 Uppsala, Sweden
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