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Updated: Dec 22, 2025

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Management of Persistent Pneumothorax With Thoracoscopy and Bleb Resection in COVID-19 Patients
Alberto Aiolfi1, Tullio Biraghi1, Andrea Montisci2
1Department of Biomedical Science for Health, Division of General Surgery, Sant'Ambrogio Clinical Institute, University of Milan, Milan, Italy.
Abstract:
Several studies have been published describing the clinical and radiographic findings of coronavirus disease 2019-related pneumonia. Therefore, there is currently a lack of pathologic data on its effects in intubated patients. Pneumothorax may occur rarely and results from a combination of fibrotic parenchyma and prolonged high-pressure ventilation. Chest drainage represents first-line treatment. However, in cases of persistent pneumothorax, thoracoscopy and bleb resection may be feasible options to reduce air leak and improve ventilation. This report describes the cases of 2 patients with coronavirus disease 2019 who were successfully treated with thoracoscopy, bleb resection, and pleurectomy for persistent pneumothorax.
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