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Hemostasis and aerostasis devices can facilitate earlier pleural de-drainage and fast-track. Our objectives were to evaluate the efficacy of TenaTac\n                      <jats:sup>\u00ae<\/jats:sup>\n                      (an elastic, adhering patch approved as a medical device) in reducing bleeding and prolonged air leak after major lung resection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This monocentric retrospective case\u2013control study, using prospectively collected data, includes 60 patients who underwent, between 2022 and 2024, minimally invasive robot-assisted lobectomy or segmentectomy: 30 with TenaTac\n                      <jats:sup>\u00ae<\/jats:sup>\n                      <jats:italic>vs.<\/jats:italic>\n                      30 with other devices. Data were extracted from Epithor, the French national database, with ethics committee validation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients characteristics, Index of Prolonged Air Leak, and surgical procedures were similar in both groups (NS). TenaTac\n                      <jats:sup>\u00ae<\/jats:sup>\n                      hemostatic benefit was comparable to other devices (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.56). Prolonged air leak rate was significantly lower with TenaTac\n                      <jats:sup>\u00ae<\/jats:sup>\n                      (3%) than for control devices (37%) (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.0004). Post-operative air leakage duration was significantly shorter in TenaTac\n                      <jats:sup>\u00ae<\/jats:sup>\n                      group than in control group (2.23 \u00b1 2.57\n                      <jats:italic>vs.<\/jats:italic>\n                      4.23 \u00b1 3.87 days,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01). Mean drainage duration and length of stay were both reduced with TenaTac\n                      <jats:sup>\u00ae<\/jats:sup>\n                      by 36 hours. No significant difference was observed between the two groups in terms of morbidity (90-day post-operative complications classified as Clavien\u2013Dindo grade&gt;II,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.33), readmission rates (nil), or 90-day mortality (no deaths).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Numerous hemostatic or aerostatic devices have been previously evaluated without achieving consensus in the prevention of prolonged air leak. As an absorbable, adherent gelatine patch, TenaTac\n                      <jats:sup>\u00ae<\/jats:sup>\n                      significantly reduces the incidence of prolonged air leak after major lung resection.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11748-025-02194-3","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T17:05:09Z","timestamp":1757523909000},"page":"278-285","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Blood loss and prolonged air leak reduction by applying TenaTac\u00ae gelatine patch after major pulmonary minimal-invasive resection"],"prefix":"10.1007","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1258-675X","authenticated-orcid":false,"given":"Caroline","family":"Rivera","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cyril","family":"Perrot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Mazeres","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elodie","family":"Rive","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,10]]},"reference":[{"issue":"4","key":"2194_CR1","doi-asserted-by":"publisher","first-page":"189","DOI":"10.5114\/kitp.2022.122087","volume":"19","author":"J Yu","year":"2022","unstructured":"Yu J, Laohathai S. 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