Long-Term Recurrence Risk Following Pleurectomy or Pleurodesis for Primary Spontaneous Pneumothorax

Pleural abrasion versus apical pleurectomy for primary spontaneous pneumothorax: a systematic review and Meta-analysis

“…Forty-eight studies underwent full text review and application of inclusion criteria, following which eight studies were deemed eligible for inclusion in this review. Two studies were prospective [13,14], and remaining six studies [15][16][17][18][19][20] were retrospective in nature. All eight studies were included in the meta-analysis [12][13][14][15][16][17][18][19].…”

“…Two studies were prospective [13,14], and remaining six studies [15][16][17][18][19][20] were retrospective in nature. All eight studies were included in the meta-analysis [12][13][14][15][16][17][18][19].…”

“…A total of 1,141 patients underwent mechanical abrasion compared to 472 patients who underwent apical pleurectomy. Mean follow-up duration was greater than 12 months for five out of eight studies [13,14,[16][17][18]. The baseline study characteristics are summarized in Tables 1 and 2.…”

“…Where no blebs were detected, an apical wedge resection was performed in the studies. Reported techniques for pleurectomy were electrocautery and stripping [15,16], blunt stripping [17,19] and unspecified in the remaining four studies [13,14,18,20]. The borders of pleural stripping were the upper margin of the fifth rib inferiorly, sympathetic trunk posteriorly, internal mammary artery anteriorly and to the height of the left subclavian artery on the left or brachiocephalic trunk on the right [14,16,17].…”

“…The borders of pleural stripping were the upper margin of the fifth rib inferiorly, sympathetic trunk posteriorly, internal mammary artery anteriorly and to the height of the left subclavian artery on the left or brachiocephalic trunk on the right [14,16,17]. Commonly utilized materials for pleural abrasion were cautery scratch pad [15,16,19], gauze or mesh [13,14,17] and was unspecified in two studies [18,20].…”