What is the risk of subsequent contralateral spontaneous pneumothorax following surgical management of a unilateral pneumothorax?

What is the risk of subsequent contralateral spontaneous pneumothorax following surgical management of a unilateral pneumothorax?

What is a spontaneous pneumothorax?

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Management of spontaneous pneumothorax.

Management of patients with a spontaneous pneumothorax continues to challenge clinicians. Recent guidelines help provide care pathways for these patients and highlight the many areas in need of additional study. Management options for spontaneous pneumothoraces should be selected based primarily upon a patient's clinical status. Observation or pleural air drainage, in selected patients, plays a...

Management of spontaneous pneumothorax.

Spontaneous pneumothorax occurring In the apparently healthy individual was first named and described by Itard’ in 1803. In 1826 Laennec2 accurately described the occurrence of such a phenomenum, and following McDowell3 in 1856, who described the condition In a tuberculous patient, the etiology was accepted as tuberculous in the majority of cases until Kjaergaard4 (1932 and 1933) revealed that ...

The management of spontaneous pneumothorax.

In 1932 Kjaergaard corrected the universally held belief that spontaneous pneumothorax was usually a manifestation of active tuberculosis. To-day the pathology of the condition is well understood but there is no general agreement about therapy. In the literature, the treatment varies from the extremely conservative, with bed-rest alone in most cases (Vail, Alway, and England, 1960; Hyde, 1963),...