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Spontaneous Pneumothorax Treatment Modalities: A Study of 48 Cases

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Author(s): Serdar OZKAN | Ulku YAZICI | Selim Sakir Erkmen GULHAN | Abdullah Irfan TASTEPE | Kerem KARAARSLAN | Suphi AYDIN | Mehmet Furkan SAHIN

Journal: Turkish Journal of Emergency Medicine
ISSN 1304-7361

Volume: 11;
Issue: 1;
Start page: 20;
Date: 2011;
Original page

Keywords: Bulla ligation | pleurodesis | spontaneous pneumothorax.

ABSTRACT
Objectives: Spontaneous pneumothorax is defined as the collection of free air between the lung and chest wall, and is diagnosed clinically and radiologically. Treatment approaches to this condition are variable. In our study, we discussed our experience on pneumothorax and its treatment options in light of relevant literature. Methods: 48 patients with spontaneous pneumothorax were prospectively reviewed. Only the patients with primary spontaneous pneumothorax were enrolled in the study. Their age, gender, comorbid factors, symptoms, surgical methods and follow up were evaluated. Results: Of all patients, 20 (41.7%) had total pneumothorax and 28 (58.3%) had partial pneumothorax. In 31 patients (64.6%) pneumothorax was observed for the first time while 17 patients (35.4%) had recurrent pneumothoraces. There were 26 (54.2%) left sided pneumothorax and 22 (45.8%) right sided pneumothorax. Among the avaialble treatment options, 38 patients were treated with tube thoracostomy, 5 with pleurodesis, and 6 with ligation of bullae in our group. Conclusions: Treatment of pneumothorax should aim to prevent recurrence. Pleurodesis and surgical intervention should follow tube thoracostomy whenever needed. It is important to choose interventions that shorten the duration of hospital stay and improve patient’s comfort. In recurrent pneumothorax cases, pleurodesis or pleurectomy must be performed in addition to tube thoracostomy.
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