Miktat Arif HABERAL, Erkan AKAR, Özlem ŞENGÖREN DİKİŞ

Plöredezde kullanılan kan miktarının uzamış hava kaçağını önlemedeki etkinliği

Amaç: Bu çalışmada sekonder spontan pnömotorakslı hastalarda otolog kan yama plörodezinde kullanılan farklı kan miktarlarının klinik sonuçlar üzerindeki etkileri araştırıldı. Çalışma planı: Ocak 2015 - Nisan 2019 tarihleri arasında kliniğimizde tedavi edilen ve yedi günü geçmiş inatçı hava kaçağı olan sekonder spontan pnömotorakslı toplam 42 hasta (36 erkek, 6 kadın; ort. yaş 52.1±16.0 yıl; dağılım, 25-83 yıl) retrospektif olarak değerlendirildi. Hastalar 60 mL otolog kan yama plörodezi yapılanlar (Grup 1, n=20) ve 120 mL otolog kan yama plörodezi yapılanlar (Grup 2, n=22) olmak üzere iki gruba ayrıldı. Yaş, cinsiyet, işlem tarafı, komplikasyonlar, nüks oranları, tüpün çekilme süresi ve hastanede kalış süresi dahil olmak üzere veriler kaydedildi ve gruplar arasında karşılaştırıldı. Bulgular: Ortalama hava kaçağı kesilme süresi 3.3±2.4 (dağılım, 1-11) gün, ortalama plörodez sayısı 1.6±0.7 (dağılım 1-3), ortalama tüp çekilme süresi 5.2±3.3 (dağılım, 1-16) gün ve ortalama hastanede kalış süresi 7.1±3.6 (dağılım, 3-18) gün idi. İncelenen tüm değişkenlerde Grup 1 ve Grup 2 arasında istatistiksel olarak anlamlı farklar bulundu (p

The effectiveness of blood amount used in pleurodesis to prevent prolonged air leakage

Background: This study aims to investigate the effects ofdifferent amounts of blood used in autologous blood patchpleurodesis on clinical outcomes in patients with secondaryspontaneous pneumothorax.Methods: Between January 2015 and April 2019, a total of42 patients (36 males, 6 females; mean age 52.1±16.0 years; range,25 to 83 years) with SSP treated in our clinic with persistentair leakage for more than seven days were retrospectivelyanalyzed. The patients were divided into two groups as receiving60 mL autologous blood patch pleurodesis (Group 1, n=20)and 120 mL autologous blood patch pleurodesis (Group 2,n=22). Data including age, gender, operation side, complications,recurrence rates, time to tube withdrawal, and length of hospitalstay were recorded and compared between the groups.Results: The m ean d uration o f a ir l eakage w as 3 .3±2.4(range, 1 to 11) days, the mean number of pleurodesis was 1.6±0.7(range, 1 to 3), the mean time to tube withdrawal was 5.2±3.3(range, 1 to 16) days, the mean length of hospitalization was7.1±3.6 (range, 3 to 18) days. There were statistically significantdifferences in all variables analyzed between Group 1 and Group2 (p

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