Comparison of the results of Teflon felt and Dacron strip usage in Stanford type A dissection

Yıl 2019, Cilt: 5 Sayı: 2, 274 - 281, 04.03.2019

Deniz Demir , Nail Kahraman

https://doi.org/10.18621/eurj.410024

Öz

Objectives:
In patients
who undergo surgery for aortic dissection, the anastomotic leakage and
the bleeding in these regions affect surgical success and mortality rate significantly. Various
surgical materials are used for this purpose. We examined the results obtained
from patients in whom Teflon felt
strip or Dacron strip was used for creating a more secure anastomotic suture
line.

Methods: Twenty-eight
patients who underwent surgery for ascending
aortic dissection between 2013 and 2017 were examined retrospectively. Teflon felt strip or Dacron strip was used to create a more secure anastomotic suture line and to reduce bleeding in these
patients. The patients were divided into the Teflon and Dacron groups according
to the materials used. The amount
of drainage, the amount
of tissue adhesive
used, the number
of red blood cell (RBC) transfusions, and the morbidity
and mortality rates were mainly compared between the two groups.

Results: While Teflon felt strip was used in 13 (46%) patients, Dacron strip was used in 15
(53%) patients. The mean amount of drainage in the first 24 hours
postoperatively was 596.15 ± 165.15 ml in the Teflon group and 546.67 ± 217.5 ml in the Dacron group. There was no
statistically significant difference between the two groups in terms of mean
amount of drainage (p = 0.509). Similarly, the mean number of RBC transfusions was 2.54 ± 0.51 units in the Teflon group and 2.33 ± 0.81
units in the Dacron group. There was no statistically
significant difference between the two groups in terms of mean number of RBC transfusions (p = 0.416).
Although the mean amount of tissue adhesive
used was relatively higher in the Dacron group, there was no
statistically significant difference between the two groups in terms
of mean amount of tissue adhesive
used (p = 0.761). The total mortality rate was 28% (8 patients). There was no statistically significant difference between the two groups in terms of mortality rate (p = 0.281).

Conclusion: We concluded that the results obtained from the Teflon and Dacron groups were not significantly superior to each
other. We think that Dacron strip may be used as an alternative to Teflon felt strip, which is used routinely in
the surgical treatment of aortic
dissection. 

Anahtar Kelimeler

Aortic dissection, Teflon felt strip, Dacron strip

Kaynakça

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