We report recent experience with a new device, the thoracic vent, in the management of simple pneumothorax. There were 16 patients aged 19 to 73 years who suffered pneumothorax due to spontaneous (4), traumatic (3), or iatrogenic (9) causes. Ease of insertion, patient tolerance, and the presence of a unique signal diaphragm all contributed to patient and physician acceptance of the device. Aver...

We report our experience with thoracoscopy used for the treatment of spontaneous pneumothorax and idiopathic emphysematous bullae. Fifty-one patients with pneumothorax were admitted to the hospital and received a pleurography and CT scanning before thoracoscopy. End-GIA resection or end-loop ligation were used alone or in combination, with or without laser coagulation. Only one patient develope...

Pneumothorax is defined as the presence of air within the pleural space and implicates that either the visceral or parietal pleura have been disrupted. In this article the classification of pneumothorax, incidence, pathogenesis, and the radiological evaluation and different quantitative measures of pneumothorax were reviewed. In this communication, we also explored the goals of therapy and the ...

Bilateral simultaneous spontaneous pneumothorax, although rare, may constitute a grave emergency when it does occur. Early diagnosis and institution of prompt therapeutic measures may be essential for survival. The great majority of cases of spontaneous pneumothorax involve one lung only and are readily treated by simple aspiration of the air, or by intercostal catheter and water seal drainage....

A known complication of laparoscopic surgery is pneumothorax. Most reported pneumothoraces occur during laparoscopic transperitoneal abdominal surgery. Clinically significant pneumothorax from pelvic extraperitoneal surgery has not been reported. In this paper, we describe symptomatic bilateral pneumothorax following a totally extraperitoneal radical prostatectomy. The management of the complic...

Background: Primary spontaneous pneumothorax is a relatively common condition in young adults. Although blebs and bullae are frequently found in patients with primary spontaneous pneumothorax, they are very rarely the actual cause of the pneumothorax. Objective: To assess our experience with chest computed tomography evaluation in patients with recurrent spontaneous pneumothorax as compared to ...

PURPOSE The purpose of this study was to find out whether pneumothorax detection and exclusion is superior in expiratory digital chest radiography. MATERIALS AND METHODS 131 patients with pneumothorax with paired inspiratory and expiratory chest radiographs were analyzed regarding localization and size of pneumothorax. Sensitivity, specificity, negative (npv) and positive predictive value (pp...

During the recent United States Central Command (USCENTCOM) and Joint Trauma System (JTS) assessment of prehospital trauma care in Afghanistan, the deployed director of the Joint Theater Trauma System (JTTS), CAPT Donald R. Bennett, questioned why TCCC recommends treating a nonlethal injury (open pneumothorax) with an intervention (a nonvented chest seal) that could produce a lethal condition (...

OBJECTIVES Pneumothorax can be missed by bedside radiography, and computed tomography is the current alternative. We asked whether lung ultrasound could be of any help in this situation. DESIGN Retrospective study. SETTING The medical intensive care unit of a university-affiliated teaching hospital. PATIENTS All patients admitted to the intensive care unit are routinely scanned with whole...

Pneumothorax is very rare after early phase of hematopoietic stem cell transplantation (HSCT) and usually accompanied with pulmonary chronic graft-versus-host disease (GVHD), such as bronchiolitis obliterans and bronchiolitis obliterans organizing pneumonia. The present study describes the case of a seventeen-year-old male diagnosed with acute myeloid leukemia who underwent allogeneic bone marr...