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

Cited 21 time in Web of Science Cited 22 time in Scopus
Authors
Cho, Sukki; Ryu, Kyoung-Min; Jheon, Sanghoon; Sung, Sook-Whan; Huh, Dong Myung; Kim, Byung-Ho
Issue Date
2009-05
Publisher
SPRINGER
Citation
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES; Vol.23, No.5; 986-990
Keywords
Primary spontaneous pneumothorax (PSP)Mechanical pleurodesisVideo-assisted thoracic surgery (VATS)
Abstract
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. 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. 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%). Additional mechanical pleurodesis after covering procedure is also effective in decreasing postoperative recurrence of PSP.
ISSN
0930-2794
Language
English
URI
https://hdl.handle.net/10371/78394
DOI
https://doi.org/10.1007/s00464-008-0083-x
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Thoracic Surgery (흉부외과학전공)Journal Papers (저널논문_흉부외과학전공)
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