[Thoracic retraction after chemical pleurodesis by video-assisted thoracoscopy for spontaneous juvenile pneumothorax].
نویسندگان
چکیده
To the Editor: When video-assisted thoracoscopy (VATS) is used to treat spontaneous pneumothorax (SP), the goal is to eliminate the lesions that caused the air leak and to perform pleurodesis to minimize recurrence. In our facility, iodine in hydroalcoholic solution has been used to treat primary SP since 1993. The only important postoperative complication has been the recurrence of pneumothorax (in 6.2% of cases). We report the first case in our experience of hemithoracic retraction after VATS and instillation of a chemical agent— in this case a hydroalcoholic solution of povidone iodine.
منابع مشابه
Primary spontaneous pneumothorax: towards outpatient treatment and abandoning chest tube drainage.
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The initial treatment of primary spontaneous pneumothorax is not standardized throughout the world. Although aspiration is less painful and requires less hospitalization than chest tube drainage does, the latter is still frequently used as the initial treatment. After a recurrence or failure of aspiration, chest tube drainage, again, is often the procedure of choice although VATS or thoracoscop...
متن کاملPrimary Spontaneous Pneumothorax: Towards Outpatient Treatment and Abandoning Chest Tube Drainage
The initial treatment of primary spontaneous pneumothorax is not standardized throughout the world. Although aspiration is less painful and requires less hospitalization than chest tube drainage does, the latter is still frequently used as the initial treatment. After a recurrence or failure of aspiration, chest tube drainage, again, is often the procedure of choice although VATS or thoracoscop...
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BACKGROUND Conventional treatment (i.e. chest tube insertion and chemical pleurodesis) still remains standard for patients with secondary spontaneous pneumothorax because the risk of surgical bullectomy is deemed high in this subset. However, it has been suggested that surgical treatment using thoracoscopy may expedite postoperative recovery and, thus, may reduce hospital stay. MATERIALS AND ...
متن کاملEffectiveness of chemical pleurodesis in spontaneous pneumothorax recurrence prevention: a systematic review
OBJECTIVES Spontaneous pneumothorax is a common pathology. International guidelines suggest pleurodesis for non-resolving air leak or recurrence prevention at second occurrence. This study comprehensively reviews the existing literature regarding chemical pleurodesis efficacy. DESIGN We systematically reviewed the literature to identify relevant randomised controlled trials (RCTs), case-contr...
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ورودعنوان ژورنال:
- Archivos de bronconeumologia
دوره 39 11 شماره
صفحات -
تاریخ انتشار 2003