The use of Tissue PatchTM to Reduce the Duration of Air Leak Following Lung Volume Reduction Surgery.
Journal of Cardiothoracic Surgery volume 10, Article number: A13 (2015)
Prolonged post-operative air leak is a recognised complication in patients receiving lung volume reduction surgery (LVRS). Some patients are transferred to a portable flutter-valve bag to facilitate discharge. TissuePatchTM is a synthetic absorbable self-adhesive film which acts as an adjunct to minimise air leak.
Our aim was to see whether the use of TissuePatchTM would reduce post-operative air leak and the subsequent need for a drain in LVRS patients.
We retrospectively analysed LVRS cases over a two year period performed by a single surgeon to minimise procedural heterogeneity. Patients were divided into two groups; group 1 received Tissue PatchTM as the staple line adjunct and group 2 did not.
There were 26 cases in total (one excluded due to in hospital death); group 1=12 (2= bilateral procedures, 10=upper lobe procedures, median age 65), group 2=13 (all unilateral, all upper lobe procedures, median age 63). The median length of stay was 15 for both groups (p = 0.40). The median duration of air leak was 13 days for group 1 and 18 days for group 2 (p = 0.95). Only 2/12 (16%) in group 1 did not have full resolution of air leak and drain removal prior to discharge and were placed on a portable flutter-valve bag compared to 5/13 (38%) in group 2 (p = 0.64).
We have observed a reduced trend in the number of patients being discharged with persistent air leak following LVRS with the concomitant use of Tissue PatchTM. A larger study is indicated which may demonstrate significant results.
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Monaghan, A., Joshi, V. & Rathinam, S. The use of Tissue PatchTM to Reduce the Duration of Air Leak Following Lung Volume Reduction Surgery.. J Cardiothorac Surg 10 (Suppl 1), A13 (2015). https://doi.org/10.1186/1749-8090-10-S1-A13