Abstract | BACKGROUND: METHODS: A retrospective analysis was performed of 56 patients who received thoracotomy or thoracoscopic surgery for refractory pneumothorax due to silicosis between 1995 and 2010. An absorbable PGA patch was used as a reinforcement or repair material after resection of the bulla in 24 operations and it was not used in another 32 operations. Clinical outcomes were compared between the two groups (with a PGA and without a PGA). RESULTS: We found that the duration of postoperative chest drainage (5.04±1.12 days vs. 8.19±1.60 days, p<0.01) and hospital stay after the operation (8.33±1.34 days vs. 11.56±1.50 days, p<0.01) were significantly shorter in patients who used an absorbable PGA patch in the operation compared with those who did not use a PGA patch. The incidence of initial air leakage (58.3% [14/24] vs. 93.8% [30/32], p<0.05) and relapse rate of pneumothorax in 6 months (4% [1/24] vs. 25% [8/32], p<0.05) were also significantly lower in patients who used an absorbable PGA patch in the operation compared with those who did not use a PGA patch. No related adverse effects of the absorbable PGA patch occurred after the operations. CONCLUSIONS:
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Authors | Xiao-Ming Lin, Yu Liu, Chuang Chi, Chao-Xi Lin, Yi Yang |
Journal | Journal of cardiothoracic surgery
(J Cardiothorac Surg)
Vol. 7
Pg. 18
(Mar 06 2012)
ISSN: 1749-8090 [Electronic] England |
PMID | 22394587
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Absorbable Implants
- Female
- Humans
- Male
- Middle Aged
- Pneumothorax
(etiology, surgery)
- Polyglycolic Acid
- Retrospective Studies
- Silicosis
(complications)
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