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Titolo:
Staple-line reinforcement with a new type of polyglycolic acid felt
Autore:
Kawamura, M; Kase, K; Sawafuji, M; Watanabe, M; Horinouchi, H; Kobayashi, K;
Indirizzi:
Keio Univ, Sch Med, Dept Surg, Div Gen Thorac Surg,Shinjuku Ku, Tokyo 1608582, Japan Keio Univ Tokyo Japan 1608582 rac Surg,Shinjuku Ku, Tokyo 1608582, Japan Saiseikai Utsunomiya Hosp, Div Surg, Utsunomiya, Tochigi, Japan Saiseikai Utsunomiya Hosp Utsunomiya Tochigi Japan omiya, Tochigi, Japan
Titolo Testata:
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
fascicolo: 1, volume: 11, anno: 2001,
pagine: 43 - 46
SICI:
1051-7200(200102)11:1<43:SRWANT>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
PULMONARY RESECTION; BOVINE PERICARDIUM; AIR LEAKS; LUNG;
Keywords:
felt; polyglycolic acid; pulmonary resection; reinforcement; stapler;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Kawamura, M Keio Univ, Sch Med, Dept Surg, Div Gen Thorac Surg,Shinjuku Ku, 35 Shinanomachi, Tokyo 1608582, Japan Keio Univ 35 Shinanomachi Tokyo Japan 1608582 1608582, Japan
Citazione:
M. Kawamura et al., "Staple-line reinforcement with a new type of polyglycolic acid felt", SURG LA E P, 11(1), 2001, pp. 43-46

Abstract

Although various materials have been used for reinforcement in lung volume-reduction surgery to buttress pulmonary staple-line, absorbable materials are not available for use in thoracoscopic surgery. Moreover, even nonabsorbable types of reinforcements have been used only for lung volume reductionsurgery. However, elderly patients with spontaneous pneumothorax secondaryto emphysematous lung are well treated with staple-line reinforcement. Theauthors developed a new type of polyglycolic acid felt to buttress staple-line. This felt is absorbable, easier to cut with a stapler knife than is the conventional polyglycolic acid felt, and inexpensive enough to use for various types of thoracic surgeries for emphysematous lungs in Japan, and itcan be attached to staplers with a small amount of fibrin glue. Theses strips were used to reinforce pulmonary staple lines for resection of emphysematous lungs in 14 patients: pulmonary emphysema(n = 1), bilateral giant bullae (n = 1), ipsilateral giant bullae (n = 6), spontaneous pneumothorax with multiple bullae in an emphysematous lung (n = 5), and lung cancer in a patient with pulmonary emphysema (n = 1). There were no air leaks during surgery. Air leaks were noted in three patients after surgery. In two patients,the air leaks stopped within 2 weeks. In one patient, the air leak was found to originate from an untouched lobe during reoperation. No infection or allergic reaction developed in a patient during a mean follow-up of 12 months (range, 1 to 24 months).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 17:43:15