Document Detail


Timing of invasive procedures in therapy for primary and secondary spontaneous pneumothorax.
MedLine Citation:
PMID:  2039365     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
R A Schoenenberger; W E Haefeli; P Weiss; R F Ritz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  126     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-07-03     Completed Date:  1991-07-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  764-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine, University Hospital (Kantonsspital), Basel, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Chest Tubes*
Drainage
Female
Humans
Length of Stay
Lung Diseases, Obstructive / complications
Male
Pneumonolysis
Pneumothorax / etiology,  therapy*
Recurrence
Thoracostomy*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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