| Timing of invasive procedures in therapy for primary and secondary spontaneous pneumothorax. | |
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MedLine Citation:
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PMID: 2039365 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Timing of invasive procedures during chest tube therapy in spontaneous pneumothorax is undefined. Evaluation of 115 patients with primary and secondary spontaneous pneumothorax treated with tube thoracostomy revealed nearly maximal healing rates after 48 hours without a relevant increase if drainage was maintained for up to 10 days. In secondary spontaneous pneumothorax, a significantly lower healing rate was observed after 48 hours compared with primary spontaneous pneumothorax (60% vs 82%). Therapeutic success was not predictable by single clinical variables available at admission (eg, age, gender, and smoking habits) nor by their combinations. Recurrence rates were 30% in both primary and secondary spontaneous pneumothorax. Hospital stay averaged 6 days in primary and 15 days in secondary spontaneous pneumothorax. Considering their efficacy and the low incidence of complications, the early use of invasive procedures such as surgical pleurectomy, after 48 hours of persistent gas leaking, seems justified. Shorter in-patient care and lower recurrence rates may result. |
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Authors:
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R A Schoenenberger; W E Haefeli; P Weiss; R F Ritz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 126 ISSN: 0004-0010 ISO Abbreviation: Arch Surg Publication Date: 1991 Jun |
Date Detail:
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Created Date: 1991-07-03 Completed Date: 1991-07-03 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 764-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Internal Medicine, University Hospital (Kantonsspital), Basel, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Chest Tubes* Drainage Female Humans Length of Stay Lung Diseases, Obstructive / complications Male Pneumonolysis Pneumothorax / etiology, therapy* Recurrence Thoracostomy* Time Factors |
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