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Cecil C. Vaughn
Ernst Wolner
Marcel Dahan
Dominique Grunenwald
Cecil C. Vaughn, III
Walter Klepetko
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Ann Thorac Surg 1997;63:864-866
© 1997 The Society of Thoracic Surgeons

How To Do It

Prevention of Air Leaks After Pulmonary Wedge Resection

Cecil C. Vaughn, MD, Ernst Wolner, MD, Marcel Dahan, MD, Dominique Grunenwald, MD, Cecil C. Vaughn, III, MD, Walter Klepetko, MD, Marc Filaire, MD, Paul L. Vaughn, MD, Robert A. Baratz, MD

Department of Thoracic Surgery, St. Joseph's Hospital and Medical Center, Phoenix, Arizona; Department of Cardiac and Thoracic Surgery, Allgemeines Krankenhaus, Vienna, Austria; Service de Chirurgie Thoracique, Hôpital Purpan, Toulouse, France; IMM Porte de Choisy, Paris, France; and Phoenix Integrated Surgical Residency, Phoenix, Arizona

Accepted for publication October 2, 1996.

Prolonged air leak after a lung volume reduction operation for pulmonary emphysema is a major cause of morbidity and prolonged hospital stay. Staple line reinforcement is recognized as an effective adjunctive technique for decreasing the occurrence of air leaks after pulmonary wedge resection. Numerous materials have been used for staple-line reinforcement. We use expanded polytetrafluoroethylene sleeves that fit over the arms of surgical staplers to facilitate staple-line reinforcement in both thoracoscopic and open lung volume reduction procedures. The expanded polytetrafluoroethylene sleeves do not require rinsing or special handling; they are easy to use and effective in preventing air leaks. We had no prolonged air leaks or infections in any of the cases in which we used the sleeves.




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