Polyglycolic acid mesh for preventing post-thoracoscopic bullectomy recurrence
| Autor: | Yukari Kawasaki, Yasutomo Ojima, Atsuo Kimura, Daisuke Ueda, Eiji Miyahara, Tsuneo Okumichi |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Inflammatory response Young Adult 03 medical and health sciences 0302 clinical medicine Recurrence Secondary Prevention Humans Medicine Recurrent pneumothorax Thoracic Surgery Video-Assisted business.industry Pneumothorax Protein level Retrospective cohort study General Medicine Surgical Mesh medicine.disease Surgery Treatment Outcome Thoracotomy Treatment modality 030220 oncology & carcinogenesis Staple line Female 030211 gastroenterology & hepatology business Polyglycolic Acid |
| Zdroj: | Surgery Today. 51:971-977 |
| ISSN: | 1436-2813 0941-1291 |
| Popis: | Thoracoscopic bullectomy is a common treatment modality for spontaneous pneumothorax but can result in a high frequency of postoperative recurrent pneumothorax in young patients. This retrospective study compared the recurrence rate of pneumothorax following conventional thoracoscopic bullectomy to that following bullectomy using a low-density polyglycolic acid mesh to cover the staple line. Group A comprised 237 patients who experienced 294 episodes of pneumothorax and underwent thoracoscopic bullectomy alone, and Group B comprised 130 patients who experienced 155 episodes of pneumothorax and underwent bullectomy with polyglycolic acid mesh used to cover the visceral pleura. To compare the postoperative inflammatory response between the two groups, we measured three inflammatory parameters: highest body temperature after surgery, C-reactive protein level on postoperative day 3, and change in eosinophil count from the day before the surgery to postoperative day 3. The recurrence rate was significantly lower in Group B than in Group A (2.6% vs. 24.8%, P |
| Databáze: | OpenAIRE |
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