Use of Autologous Platelet-Rich Plasma for Treating Spontaneous Pneumothorax in Young Adults

We used autologous platelet-rich plasma (PRP) as an adhesive in the lungs of a young patient with spontaneous pneumothorax. Because PRP is prepared from the patient’s own blood, the patient is not at risk for new infections or rejection. Under general anesthesia, approximately 100 mL of peripheral blood was collected and centrifuged repeatedly to create PRP, and autologous thrombin was created in a separate container. Regenerative oxidized cellulose membrane (ROCM) is applied to the entire upper lobe, including the staple line. The sheet is fixed with PRP and autologous thrombin is sprayed onto the sheet. As an alternative to fibrin glue, it may be of particular benefit to younger patients.