Okayama Igakkai Zasshi (Journal of Okayama Medical Association)
Online ISSN : 1882-4528
Print ISSN : 0030-1558
Studies on the Re-expansion of the Lung by the Positive Insufflation Method after the Segmental Pneumectomy
Part 2 Clinical Study
Tetsuo Kusaka
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1959 Volume 71 Issue 5-1 Pages 2235-2245

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Abstract
1 The status of the air leak and blood effusion after the segmental pneumectomy was studied using the three bottle catheter suction drainage as the aspiration apparatus. Silicone rubber drain pipe (0.8 cm in inside diameter, 1.5 cm in outside diameter and 90 cmin length) was used and no closure by clotted blood was experienced by the time the drain pipe was drawn out, that is 72 hours after operation. It was in good condition to observe the air leak.
2. The air leak stops the quickest in 10 hours but mostly in 12 hours to 48 hours. Yet there are some that continues more than 60 hours.
3. The intermittent insufflation after the segmental pneumectomy was performed with the I. P. P. B. apparatus (Bentt), and the air leak, re-expansion, complication etc. were examined compared with that of the non-insufflation.
4. By this positive re-expansion of the lung after the segmental pneumectomy the air leak stops mostly in 6 hours to 24 hours. Furthermore it shows good re-expansion of the lung and no combined symptoms by insufflation can be found.
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© Okayama Medical Association
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