The infusion of hemocoagulase into the biopsy tract after a Computed tomography percutaneous transthoracic lung biopsy significantly reduces complications.
Dr. Tshetiz Dahal (MBBS)
, Sushant Suwal (MBBS) , Suyash Saurabh (MBBS)
Lung biopsy, Hemocoagulase, Pneumothorax, Pulmonary hemorrhage
Aim : The reduction of pneumothorax and pulmonary haemorrhage during computed tomography (CT)-guided percutaneous transthoracic lung biopsy by the injection of hemocoagulase into the biopsy tract (PTLB). Materials and Methodologies : Patients scheduled for PTLB between January 2020 and March 2021 who had undetected pulmonary lesions were included in a retrospective investigation. The hemocoagulase group or the non-hemocoagulase group received the patients. Patients in the hemocoagulase group received an injection of hemocoagulase (0.2-0.5 units) in the biopsy tract as the sheath was withdrawn following CT-guided biopsies with a 17 G coaxial system. Pneumothorax and pulmonary haemorrhage consequences were assessed using postoperative imaging scans. To ascertain their relationships with the problems, factors such as the patient's position, the location of the lesion, and the pathological findings were assessed. Results : There were 100 patients total, 44 of whom were men, with a mean age of 53. Pneumothorax and pulmonary haemorrhage rates were 15% and 13% overall, respectively. In the hemocoagulase group (8% and 6%, respectively) compared to the non-hemocoagulase group (22% and 20%, respectively; p=0.04 and 0.03, respectively), the incidences of pneumothorax and pulmonary haemorrhage were statistically substantially reduced. The difference in hemoptysis between the hemocoagulase (6%) and non-hemocoagulase (2%) groups was not statistically significant (p=0.23). Additionally, there were no statistically significant correlations between the positions, locations of the lesions, or pathological outcomes of the patients and pneumothorax or pulmonary haemorrhage. Conclusion: After PTLB, the rates of postoperative pneumothorax and pulmonary haemorrhage were decreased by injection of biopsy tract hemocoagulase.
"The infusion of hemocoagulase into the biopsy tract after a Computed tomography percutaneous transthoracic lung biopsy significantly reduces complications.", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.7, Issue 11, page no.689 - 695, November-2022, Available :https://ijsdr.org/papers/IJSDR2211092.pdf
Volume 7
Issue 11,
November-2022
Pages : 689 - 695
Paper Reg. ID: IJSDR_202532
Published Paper Id: IJSDR2211092
Downloads: 000347229
Research Area: Medical Science
Country: Gangtok, Sikkim, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
