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Spontaneous pneumothorax.

F Abyholm, G Storen, O Geiran

    Scandinavian Journal of Thoracic and Cardiovascular Surgery
    |January 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    This study reviews spontaneous pneumothorax treatments from 1960-69, supporting surgery for recurrent cases. Shorter suction drainage times are recommended based on outcomes.

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    Area of Science:

    • Thoracic Surgery
    • Pulmonology

    Background:

    • Treatment for spontaneous pneumothorax has evolved towards increased surgical intervention.
    • Previous reviews suggested surgical intervention for recurrent pneumothorax.

    Purpose of the Study:

    • To evaluate the outcomes of increased surgical activity in treating spontaneous pneumothorax.
    • To assess the efficacy of different surgical procedures in preventing pneumothorax recurrence.

    Main Methods:

    • Review of 229 episodes of spontaneous pneumothorax in 202 patients treated between 1960 and 1969.
    • Analysis of surgical interventions including suction drainage, thoracotomy, bullae resection, pleural rubbing, and partial pleurectomy.

    Main Results:

    • Surgical intervention, including thoracotomy, was necessary in 9% of patients to manage the initial pneumothorax attack.

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  • Pleural rubbing demonstrated comparable safety to partial pleurectomy in preventing pneumothorax relapse.
  • Protracted suction drainage periods were reduced based on the review's findings.

    • Conclusions:

    • The findings support the strategy of surgical intervention for recurrent spontaneous pneumothorax.
    • Pleural rubbing is a safe and effective adjunct to bullae resection for relapse prevention.
    • Optimizing the duration of suction drainage is crucial for patient recovery.