Polyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis
Abstract The coverage technique using absorbable mesh was first described in a European guideline published in 2015 as a preventive method for the recurrence of spontaneous pneumothorax. We performed a meta-analysis based on a literature search of primary studies that compared the postoperative recu...
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Nature Portfolio
2021
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oai:doaj.org-article:a25f3a69785e4824ba7d8f0f9d25ec8d2021-12-02T12:09:26ZPolyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis10.1038/s41598-021-83103-52045-2322https://doaj.org/article/a25f3a69785e4824ba7d8f0f9d25ec8d2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83103-5https://doaj.org/toc/2045-2322Abstract The coverage technique using absorbable mesh was first described in a European guideline published in 2015 as a preventive method for the recurrence of spontaneous pneumothorax. We performed a meta-analysis based on a literature search of primary studies that compared the postoperative recurrence rate of primary spontaneous pneumothorax between the use and nonuse of polyglycolic acid sheet coverage. Two reviewers independently selected and evaluated the quality of the relevant studies. The risk ratio in each study was calculated in a random-effect meta-analysis. Statistical heterogeneity among the included studies was quantitatively evaluated using the I 2 index, and publication bias was assessed using a funnel plot. A total of 19 retrospective cohort studies were analyzed: 1524 patients who underwent wedge resection alone (the control group) and 1579 who received additional sheet coverage. Polyglycolic acid sheet coverage was associated with a lower recurrence rate than that in the control group (risk ratio: 0.27, 95% confidence interval 0.20–0.37, P < 0.001; I 2 0%). The funnel plot suggested possible publication bias. The covering technique reduced the recurrence rate of pneumothorax after thoracoscopic surgery to one-fourth.Yuka KadomatsuTakayuki FukuiShoichi MoriToyofumi Fengshi Chen-YoshikawaKenji WakaiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021) |
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Medicine R Science Q |
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Medicine R Science Q Yuka Kadomatsu Takayuki Fukui Shoichi Mori Toyofumi Fengshi Chen-Yoshikawa Kenji Wakai Polyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis |
| description |
Abstract The coverage technique using absorbable mesh was first described in a European guideline published in 2015 as a preventive method for the recurrence of spontaneous pneumothorax. We performed a meta-analysis based on a literature search of primary studies that compared the postoperative recurrence rate of primary spontaneous pneumothorax between the use and nonuse of polyglycolic acid sheet coverage. Two reviewers independently selected and evaluated the quality of the relevant studies. The risk ratio in each study was calculated in a random-effect meta-analysis. Statistical heterogeneity among the included studies was quantitatively evaluated using the I 2 index, and publication bias was assessed using a funnel plot. A total of 19 retrospective cohort studies were analyzed: 1524 patients who underwent wedge resection alone (the control group) and 1579 who received additional sheet coverage. Polyglycolic acid sheet coverage was associated with a lower recurrence rate than that in the control group (risk ratio: 0.27, 95% confidence interval 0.20–0.37, P < 0.001; I 2 0%). The funnel plot suggested possible publication bias. The covering technique reduced the recurrence rate of pneumothorax after thoracoscopic surgery to one-fourth. |
| format |
article |
| author |
Yuka Kadomatsu Takayuki Fukui Shoichi Mori Toyofumi Fengshi Chen-Yoshikawa Kenji Wakai |
| author_facet |
Yuka Kadomatsu Takayuki Fukui Shoichi Mori Toyofumi Fengshi Chen-Yoshikawa Kenji Wakai |
| author_sort |
Yuka Kadomatsu |
| title |
Polyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis |
| title_short |
Polyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis |
| title_full |
Polyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis |
| title_fullStr |
Polyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis |
| title_full_unstemmed |
Polyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis |
| title_sort |
polyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/a25f3a69785e4824ba7d8f0f9d25ec8d |
| work_keys_str_mv |
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