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One hundred consecutive treatments with Holmium: YAG laser for pulmonary bullae: Especially in conjunction with gelatin‐resorcinol formaldehyde‐glutaraldehyde glue adhesion
Author(s) -
Kaseda Shizuka,
Aoki Teruhiro,
Hangai Nanae,
Shimizu Kunihiko,
Kiguchi Hideko
Publication year - 2001
Publication title -
lasers in surgery and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 112
eISSN - 1096-9101
pISSN - 0196-8092
DOI - 10.1002/lsm.1047
Subject(s) - fibrin glue , glue , surgery , glutaraldehyde , fibrin , medicine , materials science , composite material , pathology , immunology
Background and Objective We have widely used a Ho:YAG laser to treat bullae thoracoscopically. Study Design/Materials and Methods Bullae with broad necks were treated with a Ho:YAG laser thoracoscopically. Because one patient relapsed after application of fibrin glue in the early period, a DEXON™ (polyglycolic acid) mesh patch soaked in fibrin glue was used through a 2‐cm opening in the subsequent cases. Lastly, gelatin‐resorcinol formaldehyde‐glutaraldehyde (GRFG) glue was applied through a 5‐mm opening instead of a DEXON™ mesh after coagulation. Results In the 38 patients patched with DEXON™ mesh soaked in fibrin glue and 56 patched with GRFG glue after coagulation, none relapsed. Conclusion Combined uses of fibrin glue plus DEXON™ mesh or GRFG glue were effective when bullae were treated with the Ho:YAG laser. However, the wound was smaller and more cosmetic in the GRFG glue group than in the DEXON™ mesh plus fibrin glue group. Lasers Surg. Med. 28:255–258, 2001. © 2001 Wiley‐Liss, Inc.