A new technique for closure of pericardial defects: pericardial rug weave
Abstract Background Pericardial defect that occurs after intrapericardial pneumonectomy can cause many fatal complications, and closing the defect with mesh is a widely used surgical method to prevent these complications. Methods Data of patients who underwent intrapericardial pneumonectomy and peri...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-024-02368-5 |
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| author | Göktürk Fındık Mehmet Çetin Hakan Nomenoğlu İlteriş Türk Serdar Acemoğlu Necati Solak Mehmet Ali Can |
| author_facet | Göktürk Fındık Mehmet Çetin Hakan Nomenoğlu İlteriş Türk Serdar Acemoğlu Necati Solak Mehmet Ali Can |
| author_sort | Göktürk Fındık |
| collection | DOAJ |
| description | Abstract Background Pericardial defect that occurs after intrapericardial pneumonectomy can cause many fatal complications, and closing the defect with mesh is a widely used surgical method to prevent these complications. Methods Data of patients who underwent intrapericardial pneumonectomy and pericardial resection in our clinic between October 2010 and June 2022 were retrospectively reviewed. Patients were divided into two groups, those who had prolene mesh used to close the pericardial defect and those who underwent the “Rug Weave” technique we proposed as an alternative, and the results were compared. Results The study included 23 patients, one of whom was female. All patients underwent surgery due to malignancy. The vast majority of the patients had a diagnosis of squamous cell lung carcinoma (86.9%). Atrium was added to three patients and rib resection was added to one patient during intrapericardial pneumonectomy and pericardial resection. There was no significant difference between the two groups in terms of average age, gender, and length of hospital stay. There was no significant difference between the two groups in terms of complications, including atrial fibrillation, which is commonly seen in these patients (p = 0.795). The Rug Weave group had an average defect width of 23.96 cm2 and was found to be advantageous in terms of overall survival compared to the mesh group (p = 0.017). Conclusions The “Rug Weave” technique we proposed for closing pericardial defects after pneumonectomy can be used as a cheaper method safely and effectively that reduces complications as much as the traditional method of using mesh. |
| first_indexed | 2024-04-24T09:56:59Z |
| format | Article |
| id | doaj.art-c4f2c94dc08a4c7fa576c27f709c9f96 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-24T09:56:59Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-c4f2c94dc08a4c7fa576c27f709c9f962024-04-14T11:06:41ZengBMCBMC Surgery1471-24822024-04-012411610.1186/s12893-024-02368-5A new technique for closure of pericardial defects: pericardial rug weaveGöktürk Fındık0Mehmet Çetin1Hakan Nomenoğlu2İlteriş Türk3Serdar Acemoğlu4Necati Solak5Mehmet Ali Can6Department of Thoracic Surgery, Ataturk Sanatoryum Training and Research HospitalDepartment of Thoracic Surgery, Omer Halisdemir University Training and Research HospitalDepartment of Thoracic Surgery, Ataturk Sanatoryum Training and Research HospitalDepartment of Thoracic Surgery, Ataturk Sanatoryum Training and Research HospitalDepartment of Thoracic Surgery, Ataturk Sanatoryum Training and Research HospitalDepartment of Thoracic Surgery, Sincan State HospitalDepartment of Radiology, Ataturk Sanatoryum Training and Research HospitalAbstract Background Pericardial defect that occurs after intrapericardial pneumonectomy can cause many fatal complications, and closing the defect with mesh is a widely used surgical method to prevent these complications. Methods Data of patients who underwent intrapericardial pneumonectomy and pericardial resection in our clinic between October 2010 and June 2022 were retrospectively reviewed. Patients were divided into two groups, those who had prolene mesh used to close the pericardial defect and those who underwent the “Rug Weave” technique we proposed as an alternative, and the results were compared. Results The study included 23 patients, one of whom was female. All patients underwent surgery due to malignancy. The vast majority of the patients had a diagnosis of squamous cell lung carcinoma (86.9%). Atrium was added to three patients and rib resection was added to one patient during intrapericardial pneumonectomy and pericardial resection. There was no significant difference between the two groups in terms of average age, gender, and length of hospital stay. There was no significant difference between the two groups in terms of complications, including atrial fibrillation, which is commonly seen in these patients (p = 0.795). The Rug Weave group had an average defect width of 23.96 cm2 and was found to be advantageous in terms of overall survival compared to the mesh group (p = 0.017). Conclusions The “Rug Weave” technique we proposed for closing pericardial defects after pneumonectomy can be used as a cheaper method safely and effectively that reduces complications as much as the traditional method of using mesh.https://doi.org/10.1186/s12893-024-02368-5ComplicationHerniationIntrapericardialPericardial meshPneumonectomy |
| spellingShingle | Göktürk Fındık Mehmet Çetin Hakan Nomenoğlu İlteriş Türk Serdar Acemoğlu Necati Solak Mehmet Ali Can A new technique for closure of pericardial defects: pericardial rug weave BMC Surgery Complication Herniation Intrapericardial Pericardial mesh Pneumonectomy |
| title | A new technique for closure of pericardial defects: pericardial rug weave |
| title_full | A new technique for closure of pericardial defects: pericardial rug weave |
| title_fullStr | A new technique for closure of pericardial defects: pericardial rug weave |
| title_full_unstemmed | A new technique for closure of pericardial defects: pericardial rug weave |
| title_short | A new technique for closure of pericardial defects: pericardial rug weave |
| title_sort | new technique for closure of pericardial defects pericardial rug weave |
| topic | Complication Herniation Intrapericardial Pericardial mesh Pneumonectomy |
| url | https://doi.org/10.1186/s12893-024-02368-5 |
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