ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Richard J. Fischel
Robert J. McKenna, Jr
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Fischel, R. J.
Right arrow Articles by McKenna, R. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fischel, R. J.
Right arrow Articles by McKenna, R. J., Jr

Ann Thorac Surg 1998;65:217-219
© 1998 The Society of Thoracic Surgeons

Original Articles: General Thoracic

Bovine Pericardium Versus Bovine Collagen to Buttress Staples for Lung Reduction Operations

Richard J. Fischel, MD, PhD, Robert J. McKenna, Jr, MD

Chapman Lung Center, Chapman Medical Center, Orange, California, USA

Accepted for publication September 19, 1997.

Dr Fischel, Chapman Lung Center, Chapman Medical Center, 2601 East Chapman Ave, Orange, CA 92687.

Background. Air leaks after stapled lung volume reduction operations for emphysema remain the most common postoperative complication. Cooper developed the use of bovine pericardium buttress for the staple lines in an attempt to decrease the occurrence of prolonged postoperative air leaks. However, the materials cost for a bilateral procedure may add $3,000 to $4,000 to the cost of the operation. We undertook this study to evaluate the efficacy of a less expensive buttress.

Methods. Fifty-seven patients underwent a bilateral thoracoscopic stapled operation with bovine pericardium (Peri-Strips) on one side and bovine collagen (INSTAT) on the contralateral side to buttress the staples.

Results. The average time to chest tube removal was 8.6 ± 7.2 days for Peri-Strips and 10.7 ± 8.7 days for INSTAT (p = 0.16). No significant differences were seen when right-sided and left-sided application were considered separately (p = 0.12).

Conclusions. Peri-Strips or INSTAT for buttressing staple lines in thoracoscopic stapled bilateral lung volume reduction operations were equally effective. Materials cost savings of up to 80% per case can be realized by using the less expensive but equally effective INSTAT for buttressing staple lines.




This article has been cited by other articles:


Home page
 ChestHome page
M. Brenner, N. M. Hanna, R. Mina-Araghi, A. F. Gelb, R. J. McKenna Jr, and H. Colt
Innovative Approaches to Lung Volume Reduction for Emphysema
Chest, July 1, 2004; 126(1): 238 - 248.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
K. Adluri and J. M. Parmar
Use the bulla for pneumostasis
Interactive CardioVascular and Thoracic Surgery, March 1, 2004; 3(1): 19 - 20.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
R. A. Maxfield
New and Emerging Minimally Invasive Techniques for Lung Volume Reduction
Chest, February 1, 2004; 125(2): 777 - 783.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
M. Brenner, X. Gonzalez, B. Jones, R. Ha, K. Osann, R. McKenna, and J. Milliken
Effects of a Novel Implantable Elastomer Device for Lung Volume Reduction Surgery in a Rabbit Model of Elastase-Induced Emphysema
Chest, January 1, 2002; 121(1): 201 - 209.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
G. R. Stirling, W. J. Babidge, M. J. Peacock, J. A. Smith, K. S. Matar, G. I. Snell, D. J. Colville, and G. J. Maddern
Lung volume reduction surgery in emphysema: a systematic review
Ann. Thorac. Surg., August 1, 2001; 72(2): 641 - 648.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
U. Stammberger, W. Klepetko, G. Stamatis, J. Hamacher, R. A. Schmid, W. Wisser, L. Hillerjan, and W. Weder
Buttressing the staple line in lung volume reduction surgery: a randomized three-center study
Ann. Thorac. Surg., December 1, 2000; 70(6): 1820 - 1825.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
U. Cagirici, S. Bilaceroglu, M. Cikirikcioglu, H. Posacioglu, Y. Atay, T. Yagdi, and O. Bilkay
Parenchymal Stapling in Pulmonary Lobectomies: Is it Really Necessary?
Asian Cardiovasc Thorac Ann, September 1, 1999; 7(3): 225 - 227.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1998 by The Society of Thoracic Surgeons.