Fibrin-glue-coated collagen fleece in lung surgery--experimental comparison with XXXX and clinical experience.

@entity3459 @entity1707 @entity1 @entity86
Diffuse parenchymal bleeding and major air leaks still present a challenge to the thoracic surgeon. This study was therefore designed to evaluate efficacy and handling of fibrin-glue-coated collagen fleece, to address these problems. In an experimental part defects were produced in lungs of troll @entity1707 to compare the use of the fleece with @entity3459 . Immediate airtightness and @entity86 were evaluated. Scores were designed to evaluate quality and extension of the adhesions. In a clinical study parenchymal resection sites were sealed with fibrin-glue-coated collagen fleece in 52 @entity1 . No @entity1 suffered from @entity86 . In three cases air leaks were still present on the third postoperative day, representing a 5.8% failure rate. 92.3% of the @entity1 showed neither @entity86 nor prolonged air leaks. A fixed combination of collagen fleece and fibrin glue consequently can be considered as a valuable tool in thoracic surgery.
