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Additional mechanical pleurodesis after thoracoscopic wedge resection and covering procedure for primary spontaneous pneumothorax

Cited 20 time in Web of Science Cited 21 time in Scopus
Authors
Cho, Sukki; Ryu, Kyoung-Min; Jheon, Sanghoon; Sung, Sook-Whan; Kim, Byung-Ho; Huh, Dong Myung
Issue Date
2008-09-20
Publisher
Springer Verlag
Citation
Surg Endosc. 2009 May;23(5):986-90. Epub 2008 Sep 19.
Keywords
AdolescentFemaleHumansMalePleurodesis/*methodsPneumonectomy/*methodsPneumothorax/*surgeryRecurrence/prevention & controlRupture, SpontaneousSurgical MeshThoracoscopyYoung Adult
Abstract
BACKGROUND: Additional mechanical pleurodesis for the treatment of primary spontaneous pneumothorax (PSP) is believed to reduce the recurrence of PSP, and a covering procedure with absorbable mesh also shows comparable results. This study was conducted to determine whether additional mechanical pleurodesis would be effective in reducing recurrence after thoracoscopic wedge resection and covering procedure. MATERIALS AND METHODS: Between May 2003 and August 2005, 99 patients underwent thoracoscopic bullectomy with staple line covering with absorbable cellulose mesh and fibrin glue followed by an additional mechanical pleurodesis. These patients were compared with 98 patients who underwent thoracoscopic bullectomy with staple line coverage alone. RESULTS: The additional mechanical pleurodesis group had findings comparable to those of the coverage group for duration of postoperative chest drainage, length of hospital stay, and complication rate. After median follow-up of 29.2 months, postoperative recurrence occurred in four patients (4.0%). CONCLUSIONS: Additional mechanical pleurodesis after covering procedure is also effective in decreasing postoperative recurrence of PSP.
ISSN
1432-2218 (Electronic)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=18802734

http://www.springerlink.com/content/j26w408615833k83/fulltext.pdf

https://hdl.handle.net/10371/60096
DOI
https://doi.org/10.1007/s00464-008-0083-x
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College of Medicine/School of Medicine (의과대학/대학원)Thoracic Surgery (흉부외과학전공)Journal Papers (저널논문_흉부외과학전공)
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