Sutureless Pneumostasis Using Polyglycolic Acid Mesh as Artificial Pleura During Video-Assisted Major Pulmonary Resection

Ueda, Kazuhiro; Tanaka, Toshiki; Jinbo, Mitsutaka; Yagi, Takaharu; Li, Tao‐Sheng; Hamano, Kimikazu

doi:10.1016/j.athoracsur.2007.06.080

Cited by 28 publications

(17 citation statements)

References 9 publications

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“…Before the use in the field of gastrointestinal endoscopy, the P-F method was used commonly in the field of surgery to prevent air, bile, and pancreatic juice after pneumonectomy 10, hepatic resection 11, and pancreatectomy 12, respectively. In addition, Shinya et al reported that the P-F method provided the strongest adhesive force and sealing effect, compared with fibrin glue alone or other biomaterials in combination with fibrin glue 13.…”

Section: Discussionmentioning

confidence: 99%

A basic study of the effect of the shielding method with polyglycolic acid fabric and fibrin glue after endoscopic submucosal dissection

et al. 2016

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Background and study aims: Recently, the shielding method with polyglycolic acid (PGA) fabric and fibrin glue (P-F method) has been reported to prevent serious complications after endoscopic submucosal dissection (ESD). However, the effectiveness and mechanism to prevent complications by this method remain unclear and the corresponding basic research has not been fully conducted. Methods and results: We examined the effectiveness and mechanism of the P-F method, using a surgical ESD model of canine stomach and in vitro experiments. In the model experiment treated by P-F method or no treatment (control), ulcer perforation or penetration occurred only in the control group, but not in the P-F group. Microscopically, the P-F group showed less damages of the ulcer lesion than that of the control group, showing thicker granulation tissues including PGA fibers on the third day and excellent mucosal regeneration on the fourteenth day. In vitro culture experiments showed that fibroblasts proliferated at a significantly higher rate on PGA than on fibrin or a complex thereof. However, under hydrochloric acid treatment, fibroblasts were protected by fibrin, followed by the complex of both, and PGA. Conclusion: The P-F method exhibited a protective effect against gastric juice by fibrin glue to reduce tissue damages and a scaffold function of PGA fabric to induce better granulation formation at the earlier phase, resulting in excellent long-term tissue repair, on ulcer lesion following ESD, although the results were based on basic experiments.

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Section: Discussionmentioning

confidence: 99%

A basic study of the effect of the shielding method with polyglycolic acid fabric and fibrin glue after endoscopic submucosal dissection

et al. 2016

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“…Combining bioabsorbable mesh and glue for pneumostasis can reduce the duration of chest tube drainage, postoperative hospital stay, and pulmonary complications after major lung resection for cancer. 2,15 We applied this method to close the BPF in our case.…”

Section: Discussionmentioning

confidence: 99%

Postoperative bronchial stump fistula after lobectomy: response to occlusion with polyglycolic acid mesh and fibrin glue via bronchoscopy

Imai

Matsuzaki

Minamiya

et al. 2011

Gen Thorac Cardiovasc Surg

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Bronchial stump fistula after resection of lung cancer is an extremely difficult to treat postoperative complication. Endoscopic fistula closure is a favorable alternative, potentially avoiding major surgical intervention. an 80-year-old man underwent curative resection of squamous cell carcinoma by left upper lobectomy of the lung. The patient suddenly developed massive subcutaneous emphysema on postoperative day 10. Bronchoscopy revealed a fistula about 3 mm in diameter at the lateral edge of the bronchial stump. Concentrated fibrinogen 0.5 ml (fluid A) was sprinkled on the bronchial fistula initially, and then pieces of polyglycolic acid mesh presoaked in fluid A or fluid B (thrombin) of the fibrin glue were pushed with biopsy forceps into the fistula in an alternating fashion (A→B→A→B) under endotracheal local anesthesia. Air leakage was stopped, and the patient did not develop empyema. Particularly for patients in poor general condition, our noninvasive technique seems to serve as a therapy of first choice.

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“…During the water seal test, the air leak sites were localized carefully via a visual assessment. If air leaks from the alveolar fistula were detected, we used polyglycolic acid (PGA) mesh (Neoveil, Gunze, Osaka, Japan) and fibrin glue (Beriplast, CSL Behring, King of Prussia, PA) to achieve pneumostasis, as described previously [7,13]. The fibrin glue used in this study was composed of solutions A and B.…”

Section: Procedures For Pneumostasismentioning

confidence: 99%

The Validation of a No-Drain Policy After Thoracoscopic Major Lung Resection

Murakami

Ueda

Tanaka

et al. 2017

The Annals of Thoracic Surgery

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Sutureless Pneumostasis Using Polyglycolic Acid Mesh as Artificial Pleura During Video-Assisted Major Pulmonary Resection

Cited by 28 publications

References 9 publications

A basic study of the effect of the shielding method with polyglycolic acid fabric and fibrin glue after endoscopic submucosal dissection

A basic study of the effect of the shielding method with polyglycolic acid fabric and fibrin glue after endoscopic submucosal dissection

Postoperative bronchial stump fistula after lobectomy: response to occlusion with polyglycolic acid mesh and fibrin glue via bronchoscopy

The Validation of a No-Drain Policy After Thoracoscopic Major Lung Resection

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