Detecting the limits of bronchial closure methods in an animal model

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dc.authorid0000-0001-9169-560Xen_US
dc.contributor.authorTezel, Çağatay
dc.contributor.authorÜrek, Şenol
dc.contributor.authorKeleş, Murat
dc.contributor.authorKiral, Hakan
dc.contributor.authorKoşar, Altuğ
dc.contributor.authorDudu, Canan
dc.contributor.authorArman, Bülent
dc.date.accessioned2024-07-12T21:11:46Z
dc.date.available2024-07-12T21:11:46Z
dc.date.issued2006en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractBackground: Bronchopleural fistula is a serious complication of major lung resections that may lead to mortality. An experimental animal model was designed to find out the safest bronchial closure method by comparing leakage rates under pressure. Methods: The tracheobronchial trees of 50 freshly dead sheep were prepared for either manual closure or closure with a stapler. After left pneumonectomy, the specimens were divided into five groups (n = 10); 3/0 Premilene® suture was used with two “u” sutures + interrupted sutures in Group I; in Group II, 3/0 Premilene® sutures with continuous horizontal mattress + over-over continuous sutures were used. In Group III and IV the same techniques were used with 3/0 Vicryl®. A stapler was used in Group V. Specimens were intubated with an endotracheal tube, connected to a sphygmomanometer, and subsequently positioned under water. The pressure level at which we detected air bubbles indicated the limits of the technique. Results: The median leakage pressure resistance was significantly lower in Group III (135 mm Hg) (p = 0.001). The best results were achieved by using the continuous horizontal mattress + over-over continuous suture technique. No statistical significance difference was found between the stapler group, Groups I, II, and IV in terms of median leakage pressures. Conclusions: This trial suggests that manual suture closure using an appropriate technique and monofilament materials is as safe as the stapler.en_US
dc.identifier.citationTezel, C., Ürek, Ş., Keleş, M., Kiral, H., Koşar, A., Dudu, C. ve Arman, B. (2006). Detecting the limits of bronchial closure methods in an animal model. The Thoracic and Cardiovascular Surgeon. 54(3), s. 193-197.en_US
dc.identifier.endpage197en_US
dc.identifier.issn1439-1902
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage193en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Thorac+Cardiovasc+Surg%22%5BTitle+Abbreviation%5D
dc.identifier.urihttps://hdl.handle.net/20.500.12415/4394
dc.identifier.volume54en_US
dc.institutionauthorKoşar, Altuğ
dc.language.isoenen_US
dc.publisherThiemeen_US
dc.relation.ispartofThe Thoracic and Cardiovascular Surgeonen_US
dc.relation.isversionof10.1055/s-2005-872951en_US
dc.relation.publicationcategoryUluslararası Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY03572
dc.subjectBronchial fistulaen_US
dc.subjectBronchial closureen_US
dc.subjectManual closureen_US
dc.subjectBronchial stapleren_US
dc.titleDetecting the limits of bronchial closure methods in an animal modelen_US
dc.typeArticle
dspace.entity.typePublication

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