Surgical treatment of spontaneous pneumothorax by wedge resection without pleurodesis or pleurectomy
| Autor: | H Engedal, Knut S. Andersen, I Ellingsen, H Körner, Lodve Stangeland |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Adolescent medicine.medical_treatment Postoperative Complications Recurrence medicine Humans Lung Pleurodesis Aged Probability Retrospective Studies Chi-Square Distribution business.industry Respiratory disease Pneumothorax General Medicine Perioperative Middle Aged medicine.disease Hemothorax Surgery Treatment Outcome Surgical Procedures Operative Anesthesia Female Exsufflation Cardiology and Cardiovascular Medicine business Pleurectomy Wedge resection (lung) |
| Zdroj: | European Journal of Cardio-Thoracic Surgery. 10:656-659 |
| ISSN: | 1010-7940 |
| DOI: | 10.1016/s1010-7940(96)80381-2 |
| Popis: | Objective. Evaluation of wedge resection of the lung without pleurodesis or pleurectomy as a method of surgical treatment for spontaneous pneumothorax in terms of complications, recurrence rate and postoperative complaints. Methods. Retrospective study of 132 operations for spontaneous pneu- mothorax in 120 patients (84 men and 36 women; mean age 34 years, range 14-77) performed between 1974 and 1993. The mean observa- tion time was 84 months (range 6-229) and a 100% follow-up rate of all survivors (97%) was achieved. Results. The indications for surgery were recurrent pneumothorax (52%), persisting air leak during first epi- sode (45%), or hemothorax (3%). Perioperative findings were single bullous disease (86%), 2-3 bullae (6%), diffuse bullous disease (5%) and no bullous disease in 3% of the cases. The overall complication rate was 16% (30-day mortality 1%, re- operation for postoperative bleeding 2%, bronchopneumonia 8%, new pneumothorax during hospital stay 5%). The late recurrence rate (oper- ated lung) was 5%. All recurrences were successfully treated by drain- age (n=3), exsufflation (n=l) or ob- servation only (n=3). Reoperation was not necessary. Thirty-seven per- cent of the patients had postoperative complaints which they associated with the operation. Conclusion. Lung resection without pleurodesis or pleurectomy is a sim- ple, safe and effective method of the surgical treatment of spontaneous pneumothorax in terms of complica- tions and recurrence rate in patients with limited bullous disease. (Eur J Cardio-thorac Surg (1996) 10: 656-659) |
| Databáze: | OpenAIRE |
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