Autologous blood pleurodesis for the treatment of postoperative air leaks: a systematic review and meta-analysis
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 t...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
03 September 2021
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| In: |
Thoracic cancer
Year: 2021, Pages: 1-7 |
| ISSN: | 1759-7714 |
| DOI: | 10.1111/1759-7714.14138 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1111/1759-7714.14138 Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/1759-7714.14138 
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| Verfasserangaben: | Ioannis Karampinis, Christian Galata, Alireza Arani, Maurizio Grilli, Svetlana Hetjens, Michael Shackcloth, Silviu Buderi, Davor Stamenovic, Eric D. Roessner |
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| 245 | 1 | 0 | |a Autologous blood pleurodesis for the treatment of postoperative air leaks |b a systematic review and meta-analysis |c Ioannis Karampinis, Christian Galata, Alireza Arani, Maurizio Grilli, Svetlana Hetjens, Michael Shackcloth, Silviu Buderi, Davor Stamenovic, Eric D. Roessner |
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| 520 | |a 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. | ||
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