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Mille Feuille Method As a Novel Surgical Technique for Intractable Pneumothorax

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Date 2025 Jan 10
PMID 39790671
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Abstract

Most cases of intractable pneumothorax are complicated by underlying lung diseases, which lead to poor intrathoracic conditions. Therefore, the treatment becomes even more challenging, and standard surgical techniques cannot always be applied to treat pneumothorax. We report a novel surgical technique using polyglycolic acid mesh and fibrin glue for intractable pneumothorax, named the mille feuille method. This method involves multiple layers of polyglycolic acid mesh and fibrin glue to control air leaks. A step-by-step protocol to perform it is described.

References
1.
MacDuff A, Arnold A, Harvey J . Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010; 65 Suppl 2:ii18-31. DOI: 10.1136/thx.2010.136986. View

2.
Nomori H, Abe M, Sugimura H, Takegawa Y, Oka S, Takeshi A . Triple-layer sealing with absorptive mesh and fibrin glue is effective in preventing air leakage after segmentectomy: results from experiments and clinical study. Eur J Cardiothorac Surg. 2013; 45(5):910-3. DOI: 10.1093/ejcts/ezt502. View

3.
Matoba M, Takagi T, Tsujimoto H, Ozamoto Y, Ueda J, Hagiwara A . Reduction of Pulmonary Air Leaks with a Combination of Polyglycolic Acid Sheet and Alginate Gel in Rats. Biomed Res Int. 2018; 2018:3808675. PMC: 5816875. DOI: 10.1155/2018/3808675. View