In:
BioMed Research International, Hindawi Limited, Vol. 2018 ( 2018), p. 1-6
Abstract:
Postoperative air leaks remain a major cause of morbidity after lung resection. This study evaluated the effect of a combination of polyglycolic acid (PGA) sheet and alginate gel on pulmonary air leaks in rats. Four pulmonary sealing materials were evaluated in lung injury: fibrin glue, combination of PGA sheet and fibrin glue, alginate gel, and combination of PGA sheet and alginate gel. With the airway pressure maintained at 20 cmH 2 O, a 2 mm deep puncture wound was created on the lung surface using a needle. Lowering the airway pressure to 5 cmH 2 O, each sealing material was applied. The lowest airway pressure that broke the seal was measured. The seal-breaking pressure in each experimental group was fibrin, 10 . 4 ± 6 . 8 cmH 2 O; PGA + fibrin, 13 . 5 ± 6 . 5 cmH 2 O; alginate gel, 10 . 3 ± 4 . 9 cmH 2 O; and PGA + alginate, 35 . 8 ± 11 . 9 cmH 2 O, respectively. The seal-breaking pressure was significantly greater in the PGA + alginate gel group than in the other groups ( p 〈 0 . 01 ). There were no significant differences among the other three groups. Alginate gel combined with a PGA sheet is a promising alternative to fibrin glue as a safe and low-cost material for air leak prevention in pulmonary surgery.
Type of Medium:
Online Resource
ISSN:
2314-6133
,
2314-6141
DOI:
10.1155/2018/3808675
Language:
English
Publisher:
Hindawi Limited
Publication Date:
2018
detail.hit.zdb_id:
2698540-8
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