Authors:	Karampinis, Ioannis Galata, Christian Arani, Alireza Grilli, Maurizio Hetjens, Svetlana Schackcloth, Michael Buderi, Silviu Stamenovic, Davor Roessner, Erich D.
Title:	Autologous blood pleurodesis for the treatment of postoperative air leaks : a systematic review and meta-analysis
Online publication date:	1-Dec-2022
Year of first publication:	2021
Language:	english
Abstract:	Background Postoperative air leaks are a common complication after lung surgery. They are associated with prolonged hospital stay, increased postoperative pain and treatment costs. The treatment of prolonged air leaks remains controversial. Several treatments have been proposed including different types of sealants, chemical pleurodesis, or early surgical intervention. The aim of this review was to analyze the impact of autologous blood pleurodesis in a systematic way. Methods A systematic review of the literature was conducted until July 2020. Studies with more than five adult patients undergoing lung resections were included. Studies in patients receiving blood pleurodesis for pneumothorax were excluded. The search strategy included proper combinations of the MeSH terms “air leak”, “blood transfusion” and “lung surgery”. Results Ten studies with a total of 198 patients were included in the analysis. The pooled success rate for sealing the air leak within 48 h of the blood pleurodesis was 83.7% (95% CI: 75.7; 90.3). The pooled incidence of the post-interventional empyema was 1.5%, with a pooled incidence of post-interventional fever of 8.6%. Conclusions Current evidence supports the idea that autologous blood pleurodesis leads to a faster healing of postoperative air leaks than conservative treatment. The complication rate is very low. Formal recommendations on how to perform the procedure are not possible with the current evidence. A randomized controlled trial in the modern era is necessary to confirm the benefits.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-8454
Version:	Published version
Publication type:	Zeitschriftenaufsatz
License:	CC BY-NC-ND
Information on rights of use:	https://creativecommons.org/licenses/by-nc-nd/4.0/
Journal:	Thoracic cancer 12 20
Pages or article number:	2648 2654
Publisher:	Wiley-Blackwell
Publisher place:	Hoboken, NJ u.a.
Issue date:	2021
ISSN:	1759-7714
Publisher DOI:	10.1111/1759-7714.14138
Appears in collections:	JGU-Publikationen