- 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 Surgery volume 8, Article number: O218 (2013)
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.
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Ang, K., Oey, I. & Rathinam, S. "Drain Dance" technique for thoracoscopic application of Tissuepatch to reduce post-operative air-leak saves time and cost. J Cardiothorac Surg 8 (Suppl 1), O218 (2013). https://doi.org/10.1186/1749-8090-8-S1-O218
- Public Health
- Lung Volume
- Volume Reduction
- Saving Time
- Chest Drain