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  • Oral presentation
  • Open Access

"Drain Dance" technique for thoracoscopic application of Tissuepatch to reduce post-operative air-leak saves time and cost

Journal of Cardiothoracic Surgery20138 (Suppl 1) :O218

  • Published:


  • Public Health
  • Lung Volume
  • Volume Reduction
  • Saving Time
  • Chest Drain


Tissuepatch™ is an effective adjunct to reduce post-operative air-leak particularly after lung volume reduction surgery. However, thoracoscopic application of Tissuepatch™ can be time-consuming and challenging despite several modifications to the manufacturer's delivery kit. Wastage of Tissuepatch™ during its application remains a problem due to the accidental contamination and activation of the Tissuepatch™ at the tip of the delivery kit when it comes in contact with blood or tissue. We describe a new "Drain Dance" technique to apply Tissuepatch™ effectively and quickly.


In brief, we had protected the tip of the delivery kit using a chest drain. This also facilitated the introduction of the delivery kit into the thorax. The chest drain cover was then removed, to allow the elegant unrolling of the Tissuepatch™ inside the chest.


Using this technique in 10 patients to-date (9 unilateral and 1 bilateral procedures), the Tissuepatch™ could be applied successfully in less than 5 minutes per application. It also reduced the accidental wastage of at least one Tissuepatch™ per case.


The “Drain Dance” technique therefore ensures the effective thoracoscopic application of Tissuepatch™, avoiding wastage and saving time.

Authors’ Affiliations

Dept of Thoracic Surgery, Glenfield Hospital, Leicester, UK


© Ang et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.