ArticleJournal of cardiothoracic surgery2023
The effect of polyglycolic acid sheet in preventing postoperative recurrent pneumothorax: a prospective cohort study.
Article in Journal of cardiothoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Alteration of PGA sheet composition improves histocompatibility and facilitates pleural repair.Surgery today · 2026Article
- Polyglycolic acid-cyanoacrylate complex for prevention of major intestinal anastomotic leakage in a rat model: an experimental animal study.Annals of surgical treatment and research · 2025Article
- Factors Associated With Early Recurrence in Non-Surgically Managed Primary Spontaneous Pneumothorax.World journal of surgery · 2025Article
- Larger polyglycolic acid sheet pleural covering to reduce postoperative recurrence of primary spontaneous pneumothorax.Journal of thoracic disease · 2025Article
- Air leakage directly into dissected upper mediastinum following right upper lobectomy.Journal of surgical case reports · 2025Article
- Evaluation of the nonstapling bullectomy by manual suturing for young men with primary spontaneous pneumothorax.Journal of thoracic disease · 2024Article
- In vivo comparative assessments on pleural adhesive effects of three commercially available sealants.JTCVS techniques · 2024Article
- Clinical Impact of Polyglycolic Acid Mesh to Reduce Pancreas-Related Complications After Minimally Invasive Surgery for Gastric Cancer: A Propensity Score Matching Analysis.Journal of gastric cancer · 2024Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary spontaneous pneumothorax occasionally relapses, even after bullectomy; therefore, coverage of the bullectomy staple line for pleural reinforcement is common in Japan. However, the appropriate covering materials have not yet been determined.
methodsThis was a longitudinal prospective cohort study. Data were available for patients aged < 40 years with primary spontaneous pneumothorax who underwent their first thoracoscopic bullectomy between July 2015 and June 2021. We used oxidized regenerated cellulose (ORC) sheets from July 2015 to June 2018, and polyglycolic acid (PGA) sheets from July 2018 to June 2021. The postoperative recurrence-free survival rate was evaluated. The characteristics of the recurrent cases (radiographic, intraoperative, and pathological findings) were also evaluated. The extent of pleural adhesions was classified into the following three groups: none, medium, or extensive.
resultsA total of 187 patients were included in the study. There were 92 and 95 participants in the ORC and PGA sheet groups, respectively. The postoperative recurrence-free survival rates were significantly higher in the PGA sheet group than in the ORC sheet group (ORC group vs. PGA group, 82.9% vs. 95.4%, p = 0.031). In recurrent cases, there was a significant difference in terms of pleural adhesion (0.0% [12 of 12, none] vs. 100.0% [four of four, extensive], p < 0.001).
conclusionsCompared with ORC sheets, PGA sheets are an effective material for preventing early recurrence of primary spontaneous pneumothorax. Strong local pleural adhesions potentially contribute to decreasing recurrence.
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