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Verfasst von:Karampinis, Ioannis [VerfasserIn]   i
 Galata, Christian [VerfasserIn]   i
 Arani, Alireza [VerfasserIn]   i
 Grilli, Maurizio [VerfasserIn]   i
 Hetjens, Svetlana [VerfasserIn]   i
 Shackcloth, Michael [VerfasserIn]   i
 Buderi, Silviu [VerfasserIn]   i
 Stamenovic, Davor [VerfasserIn]   i
 Rößner, Eric [VerfasserIn]   i
Titel:Autologous blood pleurodesis for the treatment of postoperative air leaks
Titelzusatz:a systematic review and meta-analysis
Verf.angabe:Ioannis Karampinis, Christian Galata, Alireza Arani, Maurizio Grilli, Svetlana Hetjens, Michael Shackcloth, Silviu Buderi, Davor Stamenovic, Eric D. Roessner
E-Jahr:2021
Jahr:03 September 2021
Umfang:7 S.
Fussnoten:Gesehen am 14.09.2021
Titel Quelle:Enthalten in: Thoracic cancer
Ort Quelle:Hoboken, NJ [u.a.] : Wiley-Blackwell, 2010
Jahr Quelle:2021
Band/Heft Quelle:(2021) early view, Seite 1-7, 7 Seiten
ISSN Quelle:1759-7714
Abstract:Background Postoperative air leaks are a common complication after lung surgery. They are associated with prolonged hospital stay, increased postoperative pain and treatment costs. The treatment of prolonged air leaks remains controversial. Several treatments have been proposed including different types of sealants, chemical pleurodesis, or early surgical intervention. The aim of this review was to analyze the impact of autologous blood pleurodesis in a systematic way. Methods A systematic review of the literature was conducted until July 2020. Studies with more than five adult patients undergoing lung resections were included. Studies in patients receiving blood pleurodesis for pneumothorax were excluded. The search strategy included proper combinations of the MeSH terms “air leak”, “blood transfusion” and “lung surgery”. Results Ten studies with a total of 198 patients were included in the analysis. The pooled success rate for sealing the air leak within 48 h of the blood pleurodesis was 83.7% (95% CI: 75.7; 90.3). The pooled incidence of the post-interventional empyema was 1.5%, with a pooled incidence of post-interventional fever of 8.6%. Conclusions Current evidence supports the idea that autologous blood pleurodesis leads to a faster healing of postoperative air leaks than conservative treatment. The complication rate is very low. Formal recommendations on how to perform the procedure are not possible with the current evidence. A randomized controlled trial in the modern era is necessary to confirm the benefits.
DOI:doi:10.1111/1759-7714.14138
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1111/1759-7714.14138
 kostenfrei: Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/1759-7714.14138
 DOI: https://doi.org/10.1111/1759-7714.14138
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:blood patch
 lobectomy
 lung surgery
 pleurodesis
 prolonged air leak
K10plus-PPN:1770456538
Verknüpfungen:→ Zeitschrift

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