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. 2019 Apr 16;34(1):396–407. doi: 10.1007/s00464-019-06782-2

Table 4.

Leak rate by reinforcement method

Reinforcement Type
NO-SLR Suture BPS Seal APM TOTAL
N = 40,653
Study overall
 Leaks, n 314 222 34 7 30 607
 Patients without leaks, n 16,318 18,092 1210 356 4070 40,046
 Leaks, % 1.9 1.2 2.7 1.9 0.7 1.5
 P value compared to APMa < 0.0001 0.007 < 0.0001 0.0271
United States only
 Leaks, n 14 23 4 1 9
 Patients without leaks, n 1059 3175 265 54 2302
 Leaks, % 1.30% 0.72% 1.49% 1.82% 0.39%

APM absorbable polymer membrane, BPS bovine pericardial strips, NO-SLR no staple-line reinforcement, seal tissue sealant, suture oversewing alone

aTwo-tailed Fisher’s exact test