ArticleSurgical endoscopy2009
An apical symphysial technique using a wide absorbable mesh placed on the apex for primary spontaneous pneumothorax.
Article in Surgical endoscopy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Video-assisted thoracic surgery for pneumothorax: republication of a systematic review and a proposal by the guideline committee of the Japanese association for chest surgery 2014.General thoracic and cardiovascular surgery · 2015Pooled it
- Acute Lung Abscess Causing Staple-Line Failure and Metalloptysis after Bullectomy: A Case Report.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026Article
- Polyglactin mesh in preventing recurrent pneumothorax in primary spontaneous pneumothorax: a retrospective efficacy study.Annals of translational medicine · 2025Article
- Allogeneic fibroblast sheets prevent pulmonary air leaks caused by rat pleural defects without adhesion to the thoracic wall.Regenerative therapy · 2025Article
- Mechanical stress in a solid ellipsoid model of the lung after thoracoscopic surgery for spontaneous pneumothorax.Journal of thoracic disease · 2025Article
- Safety assessment of poly-Frontiers in surgery · 2024Article
- Risk factors for the recurrence of primary spontaneous pneumothorax after video-assisted thoracoscopic surgery in patients younger than 40 years.Journal of thoracic disease · 2023Article
- The effect of polyglycolic acid sheet in preventing postoperative recurrent pneumothorax: a prospective cohort study.Journal of cardiothoracic surgery · 2023Article
- Drainless thoracoscopic surgery should be avoided in primary spontaneous pneumothorax with pleural adhesion.Interactive cardiovascular and thoracic surgery · 2022Article
- Polyglycolic acid mesh for preventing post-thoracoscopic bullectomy recurrence.Surgery today · 2021Article
- Clinicopathological significance of staple line coverage with an oxidized regenerated cellulose sheet after bullectomy for primary spontaneous pneumothorax.General thoracic and cardiovascular surgery · 2020Article
- Polyglycolic acid sheet with fibrin glue technique without pleural abrasion in uniportal VATS for primary spontaneous pneumothorax.Journal of thoracic disease · 2020Article
- Is surgery the choice for treatment for first presentation of pneumothorax?Journal of thoracic disease · 2019Article
- Comparison of additional minocycline versus iodopovidone pleurodesis during video-assisted thoracoscopic bleb resection for primary spontaneous pneumothorax: a propensity score-matched analysis.Journal of thoracic disease · 2018Article
- Pneumothorax in teenagers: reducing recurrence through resection of superior segment of lower lobe.Journal of thoracic disease · 2018Article
- Association between postoperative bulla neogenesis at the staple line and resected lung weight for primary spontaneous pneumothorax: a retrospective study using the inverse-probability of treatment weighted method in patients grouped according to age.Journal of thoracic disease · 2016Article
- Staple Line Coverage with a Polyglycolic Acid Patch and Fibrin Glue without Pleural Abrasion after Thoracoscopic Bullectomy for Primary Spontaneous Pneumothorax.The Korean journal of thoracic and cardiovascular surgery · 2016Article
- Air leakage on the postoperative day: powerful factor of postoperative recurrence after thoracoscopic bullectomy.Journal of thoracic disease · 2016Article
- Covering the staple line with a polyglycolic acid sheet after bullectomy for primary spontaneous pneumothorax prevents postoperative recurrent pneumothorax.Journal of thoracic disease · 2015Article
- Relationship between postoperative bulla neogenesis at the staple line and the resected lung volume in primary spontaneous pneumothorax.General thoracic and cardiovascular surgery · 2015Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe outcome of thoracoscopic bullectomy for primary spontaneous pneumothorax (PSP) is not satisfactory. To reduce postoperative pneumothorax recurrence after thoracoscopic bullectomy, an effective and easy surgical method is required. We tried a new method using an absorbable mesh that covered the whole apical visceral pleura.
methodsA total of 157 sides of 143 patients who underwent stapled bullectomy under thoracoscopy for PSP were reviewed retrospectively. In the apical covering group (group A), a 15 x 15-cm(2) absorbable mesh sheet was placed on the apical visceral pleura with fibrin glue. Patients in group B underwent bullectomy alone. Cumulative postoperative recurrence was compared between the groups. Recurrent cases in group A were examined clinicopathologically.
resultsGroup A had 111 cases and group B had 46. There was no operative mortality. Postoperative recurrence occurred in 15 of 157 cases (9.6%): 4 in group A and 11 in group B. The cumulative postoperative 5-year recurrence rate was 3.6% in group A and 23.9% in group B (log-rank test, p = 0.013). In group A, local adhesion was seen at the apical pleurae, and inflammatory changes with foreign body giant cells were seen at the pleura covered with the mesh.
conclusionsPlacement of a wide absorbable mesh with fibrin glue at the apical visceral pleura significantly reduced postoperative recurrence after thoracoscopic bullectomy for PSP. The mesh was thought to act as a foreign body on the pleura and induce local inflammatory adhesion between the apical pleurae after bullectomy. This was an easy and effective symphysial procedure.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.