Options in thoracic surgery for using a hemostasis and sealant patch and Quill® for hemostasis and sealing1
The most important surgical procedures and areas of application in thoracic surgery for using a hemostasis and sealant patch and Quill®:
- Lobectomies
- Pulmonary resections (especially for atypical resections)
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Corza dual patch product capabilities
Hemostasis and Sealing capabilities of our products merge distinct technologies and devices into a unified whole solution for these surgical challenges2:
Mechanical support
Hemostat
Air & body liquid sealant
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Quill® offers these benefits to your surgical challenges in thoracic surgery:
Time saving and efficiency
Security and strength
Improved surgical outcomes
Examples of product performance in selected thoracic procedures
EXAMPLE 1
Reduction of the intensity and duration of air leakages
- Randomised, prospective, open-label, multicentric trial
- Efficacy and safety of sealant patch in a standard lobectomy
- 189 patients after a standard lobectomy for lung cancer
- After primary haemostasis using manual sutures or stapler, randomised to
- Sealant patch group: n = 96
- Control group (additional manual sutures): n = 93
- Primary endpoint:
- Air leakages 48 h after the operation
- Secondary endpoints:
- Reduction of the intensity of intraoperative air leakages after the initial test treatment
- Intensity and duration of postoperative leakages Duration of the postoperative thorax drainage up to 9 days after the operation
Average duration of postoperative air leakages
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Case studies for thoracic surgery
Corza salant patch in upper lobe resection due to lung cancer
Support of hemostasis and reinforcing the staple line.
Preliminary remarks
- If there is an isolated tumour in the lungs, the indication for resection can be made.
- The operation with curative intent is the procedure of choice in stages I, II and IIIA.1
- The recommended surgical procedure is lobectomy including systematic dissection of the ipsilateral lymph nodes.1
- The average 30-day lethality for open resections is 3.5% and the average 30-day morbidity is 30%.1
- One postoperative risk is secondary bleeding, as after the lungs are re-aerated, the pressure on the (staple) sutures is increased, thus increasing the risk of suture insufficiency.
- Corza sealant patch adhesion is an additional option for sufficient hemostasis and reinforcing the (staples) lines.
Patient history
- 65-year-old patient with lung cancer in the right upper lobe (ICD-10 C34.1) (secondary tumour).
- Known hepatic metastasis of a neuroendocrine tumour (NET), most likely in the jejunum first diagnosed in 2005.
- Additional secondary findings: CHD, arterial hypertension, diabetes mellitus, obesity
- No increased risk of bleeding.
- Due to the size of the tumour, indication for resection of the right upper lobe.
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Case Studies
- The use of Corza sealant patch for air leak repair in post-VATS lobectomy
- Corza sealant patch in lower lobectomy due to a lung carcinoid tumour
- Use of Corza sealant patch for an alveolar-pleural fistula in the upper lobe as a result of puncture damage
- Use of Corza sealant patch for sealing an open thoracic duct after abdominothoracic oesophageal resection due to oesophageal carcinoma
- Corza sealant patch in anatomical segment 6 resection due to lung cancer
- Corza sealant patch in lower lobectomy due to a lung carcinoid tumour
- Use of Quill® barbed suture for robotic diaphragmatic plication
- Interesting facts about Thoracic Surgery
Case Examples
- Corza sealant patch in upper lobe resection due to lung cancer
- Reduction of the intensity and duration of air leakages
- Reduction of air leakages compared with staplers in lobectomy
- Reduction of air leakages, length of hospital stay and costs of re-operation
- Reduction of air leakages in pulmonary lobectomy
Procedural Videos
- Use of Quill® for pulmonary suture and Corza sealant patch for an airtight suture after pulmonary leakage
- Corza sealant patch in case of alveopleural fistula in the right upper lobe of the lung
- Air leak repair after VATS lobectomy using Corza sealant patch
- Use of Quill® for robotic diaphragmatic plication
How can we help you?
Who can I contact if I have additional questions?
Please click here to contact Corza Medical for all your questions, comments, medical information inquiries, or suggestions.
Who can I contact if I need to report an adverse event?
Please use one of the following contacts if you wish to address a medical information request, a complaint or pharmacovigilance topics.
MedInfo: medinfo@corza.com
Complaints: quality@corza.com
Pharmacovigilance: Corza-Safety@iconplc.com
How can I order?
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Will the terms and conditions stay the same?
Yes, the terms and conditions under which the Corza sealant patch products have been supplied to you by Takeda will remain unchanged until such terms and conditions are either terminated or renegotiated.
Where can I find the Summary of Product Characteristics?
Please click here to see the Summary of Product Characteristics.
Corza sealant patch and Quill® in thoracic surgery
Clinical publications and further literature