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Ann Thorac Surg 2001;71:1403
© 2001 The Society of Thoracic Surgeons

Correspondence

Autologous blood pleurodesis for treating persistent air leak after lung resection: Reply

Juan J. Rivas de Andrés, MDa, Sandra Blanco, MD, PhDb, Mercedes de la Torre, MDb

a Thoracic Surgery Service, Hospital "Miguel Servet", Isabel la Católica 1, 50009 Zaragoza, Spain
b Thoracic Surgery Service, Hospital "Juan Canalejo", Xubias de Arriba, 84, 15006 A Coruña, Spain

e-mail: jjrivas{at}jet.es

To the Editor

We appreciate the comments and suggestions proposed by Shackcloth and colleagues which will undoubtedly improve the technique described by us of pleurodesis with autologous blood for treating persistent air leak following lung resection surgery [1].

Deciding the timing is complex. Carrying out pleurodesis after 5 days instead of 9 could be beneficial with regard to hospital stay, however, this means that blood patch is done on some patients whose problem could be solved by simply maintaining chest tubes for a further 4 days. On the other hand, we do not know if the rest of the lung parenchyma where there is no air leak would be sufficiently attached to avoid collapse the moment autologous blood patch technique is carried out. Without doubt, further randomized control trials will resolve many of the questions which we have at this moment.

References

  1. Rivas de Andrés J.J., Blanco S., de la Torre M. Postsurgical pleurodesis with autologous blood in patients with persistent air leak. Ann Thorac Surg 2000;70:270-272.

Related Article

Autologous blood pleurodesis for treating persistent air leak after lung resection
Michael Shackcloth, Mike Poullis, and Richard Page
Ann. Thorac. Surg. 2001 71: 1402-1403. [Extract] [Full Text] [PDF]




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