Intraoperative partial spray of 50% glucose effectively prevents recurrence and complications in pneumothorax
Pneumothorax patients require surgical intervention, but recurrences are common postoperatively. Thoracic surgeons experimented with techniques like pleural abrasion, chemical pleurodesis, staple line coverage with absorbable sheets, and bullectomy to decrease these recurrences. Recently, the effectiveness of using intraoperative glucose intrapleural spray (GIS) containing 50 ml of 50% glucose solution in addition to bullectomy has been reported. However, information on the effects and adverse events of GIS is limited.
A study published in the Journal of Cardiothoracic Surgery concluded that intraoperative glucose intrapleural spray is safe and effective in preventing recurrences and postoperative complications.
This study assessed the efficacy and safety of GIS in preventing recurrence of pneumothorax. Researchers analyzed 74 cases of bullectomy, including those with/without GIS, at Okazaki City Hospital (2018 to 2021). Among these, 50 underwent GIS treatment, while 24 were treated conservatively.
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