Use of sealants and buttressing material in pulmonary surgery: an evidence-based approach.
It is imperative to minimize the occurrence and adverse consequences of air leak complicating pulmonary surgery. This article reviews the contemporary literature and provides recommendations for intraoperative use of agents to control air leak. An evidence-based analysis of the current literature does not support routine use, prophylactically or for air leaks present at operation, of sealants or buttressing material in pulmonary surgery.
Rice
Thomas W
TW
Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue/Desk J4-1, Cleveland, OH 44195, USA. ricet@ccf.org
Blackstone
Eugene H
EH
D000818:Animals; D019317:Evidence-Based Medicine; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D017792:Surgical Stapling
D015718:Fibrin Tissue Adhesive