Polyglycolic acid sheet covering to prevent recurrence after surgery for spontaneous pneumothorax: a meta-analysis
Open Access
- 9 February 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Scientific Reports
- Vol. 11 (1), 1-9
- https://doi.org/10.1038/s41598-021-83103-5
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 I2 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; I2 0%). The funnel plot suggested possible publication bias. The covering technique reduced the recurrence rate of pneumothorax after thoracoscopic surgery to one-fourth.This publication has 35 references indexed in Scilit:
- Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trialsBMJ, 2011
- Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010Thorax, 2010
- Effect of buttress stapling with PGA felt after thoracoscopic bullectomy for primary spontaneous pneumothoraxThe Journal of the Japanese Associtation for Chest Surgery, 2008
- Effects of covering visceral pleura with polyglycolic acid sheet and autologous blood after thoracoscopic bullectomy for spontaneous pneumothoraxThe Journal of the Japanese Associtation for Chest Surgery, 2007
- Visceral pleura covered with a polyglycolic acid sheet and autologous blood after thoracoscopic bullectomy for spontaneous pneumothoraxThe Journal of the Japanese Associtation for Chest Surgery, 2007
- Quantifying heterogeneity in a meta-analysisStatistics in Medicine, 2002
- Spontaneous PneumothoraxThe New England Journal of Medicine, 2000
- Does a thoracoscopic approach for surgical treatment of spontaneous pneumothorax represent progress?European Journal of Cardio-Thoracic Surgery, 1997
- Secondary spontaneous pneumothoraxThe Annals of Thoracic Surgery, 1993
- Meta-analysis in clinical trialsControlled Clinical Trials, 1986