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A new method for coping with lung parenchyma destruction in paediatric thoracic surgery

^a University of Pécs, Faculty of Medicine, Department of Surgery, Hungary
^b University of Pécs, Faculty of Medicine, Department of Pediatrics, Surgical Unit, Hungary
^c University of Pécs, Faculty of Medicine, Department of Pediatrics, Intensive Care Unit, Hungary

Received 10 April 2008; received in revised form 22 May 2008; accepted 9 June 2008.

^_* Corresponding author. Tel.: +36 30 640 3362; fax: +36 72 536 496. (Email: mft{at}iseb.pote.hu).

Lung resection for benign diseases in infants is an extremely difficult thoracic surgical decision. Paediatric patients with drainage resistant pneumothorax and/or pneumatocele due to destroyed lung pose an even more challenging task. We describe a parenchyma sparing method using a sealant–haemostatic complex foam (Tachosyl) developed originally for application in liver and kidney surgery. Both small patients with secondary pneumothorax were operated on successfully.

Key Words: Pneumothorax • Thoracic empyema • Lung destruction • Pneumatocele • Tissue-sealant