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Method Seventy patients, with a median age of 67 years, undergoing a second thoracotomy with complete medical records of the previous thoracotomy from 4 institutions were included in this study. The mean interval from the first operation to the second operation was 20 months (1-105 months). The site and the extent of adhesion as well as duration and amount of bleeding while dissecting the adhesion were recorded.

Prospective, multicenter study of pleural adhesion in repeated pulmonary surgery