دورية أكاديمية

Efficacy of Surgical Tissue Glues and Supporters for Treatment of Prolonged Air Leaks in Bullous Emphysema.

التفاصيل البيبلوغرافية
العنوان: Efficacy of Surgical Tissue Glues and Supporters for Treatment of Prolonged Air Leaks in Bullous Emphysema.
المؤلفون: Akar E; Department of Thoracic Surgery, Health Sciences University, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey., Haberal MA; Department of Thoracic Surgery, Health Sciences University, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey., Dikis OS; Department of Pulmonary Diseases, Health Sciences University, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
المصدر: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP [J Coll Physicians Surg Pak] 2020 Jan; Vol. 30 (1), pp. 57-61.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: College of Physicians and Surgeons Pakistan Country of Publication: Pakistan NLM ID: 9606447 Publication Model: Print Cited Medium: Internet ISSN: 1681-7168 (Electronic) Linking ISSN: 1022386X NLM ISO Abbreviation: J Coll Physicians Surg Pak Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Karachi : College of Physicians and Surgeons Pakistan,
مواضيع طبية MeSH: Thoracic Surgery, Video-Assisted*, Pneumothorax/*surgery , Postoperative Complications/*epidemiology , Pulmonary Emphysema/*surgery , Tissue Adhesives/*therapeutic use, Adult ; Aged ; Aged, 80 and over ; Chest Tubes ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; Polyethylene Glycols/therapeutic use ; Retrospective Studies ; Surface-Active Agents/therapeutic use ; Surgical Stapling
مستخلص: Objective: To investigate the effect of collagen matrix tissue supporter made of bovine pericardium and polyethylene glycol (PEG) tissue glue on prolonged air leak and postoperative complications in patients with bullous emphysema.
Study Design: A retrospective study.
Place and Duration of Study: Department of Thoracic Surgery, Health Sciences University, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey, from January 2010 to December 2018.
Methodology: A total of 60 patients (57 males, 3 females) with radiologically confirmed bullous emphysema, who underwent surgery for secondary spontaneous pneumothorax were reviewed, and grouped into three: Group 1 underwent endostapler/ peristrips (20 patients); Group 2 underwent endostapler / coseal (18 patients), and Group 3 underwent endostapler/ peristrips / coseal (22 patients). All groups underwent video-assisted thoracoscopic surgery. The groups were compared for complications, time for removal of chest tube, and duration of hospital stay.
Results: The groups were similar with respect to age and gender. The mean time to chest tube removal was 7.57 ±4.73 days (range; 3-21 days); the mean duration of hospital stay was 9.23 ±5.00 days (range; 4-23 days). Group 3 had the shortest time to chest tube removal and duration of hospital stay (5.82 ±2.87 and 7.36 ±3.04; p=0.010 and p=0.006). Significant inter-group difference originated between Group 2 and Group 3 (p=0.008 and p=0.005). Group 2 had the longest time to chest tube removal and duration of hospital stay (10.22 ±5.11 and 12.22 ±5.36). Group 3 had significantly a lower rate of prolonged air leak (9.1% n=1; p=0.021).
Conclusion: Using coseal with a tissue supporter like Peristrips reduces postoperative complications, time to chest tube removal, and duration of hospital stay compared to its stand alone use.
المشرفين على المادة: 0 (Surface-Active Agents)
0 (Tissue Adhesives)
3WJQ0SDW1A (Polyethylene Glycols)
تواريخ الأحداث: Date Created: 20200115 Date Completed: 20201204 Latest Revision: 20201214
رمز التحديث: 20221213
DOI: 10.29271/jcpsp.2020.01.57
PMID: 31931934
قاعدة البيانات: MEDLINE
الوصف
تدمد:1681-7168
DOI:10.29271/jcpsp.2020.01.57