Retrospective Analysis Of Treatment Options In First Recurrences Of Primary Spontaneous Pneumothorax In Young Adults
Rauf Görür 1 * , Ali Kutlu 2, Güner Sönmez 3, Nurettin Yiğit 1, Fatih Candaş 1, Erdoğan Kunter 4, Turgut Isıtmangil 1
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1 Gulhane Military Medical Academy, Çamlıca Chest Disease Hospital, Department of Thoracic Surgery, Ankara, Turkey2 Haydarpasa Teaching Hospital, Department of Chest Disease, İstanbul, Turkey3 Haydarpasa Teaching Hospital, Department of Radiology, İstanbul, Turkey4 Gulhane Military Medical Academy, Çamlıca Chest Disease Hospital, Department of Chest Disease, Ankara, Turkey* Corresponding Author

Abstract

Aim: Surgical approach in the treatment of primary spontaneous pneumothorax (PSP) is still not well defined. We aimed to evaluate treatment options in first recurrences of PSP. Methods: We treated 44 male patients with first recurrences of PSP. All cases had been treated with chest tube for the first attack. In first recurrences, treatment strategies were classified into three groups such as chest tube (n:15, mean age 25.4±9.1), VATS (n:14, mean age 24.4±1.91) and open thoracotomy (n:15, mean age 23.2±3.1). These cases were retrospectively evaluated in terms of recurrence and succes rates. Results: There was no conversion to open thoracotomy in VATS series. VATS group had significant difference in terms of mean time to removal of chest tube when compared to chest tube and thoracotomy groups (p=0,042 and p=0,018 respectively). Also recurrences occurred in chest tube group (n:8), no recurrence was seen in thoracotomy and VATS groups. Conclusion: The present study strongly suggests VATS for management of first recurrences of PSP following pleural abrasion.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

EUR J GEN MED, 2007, Volume 4, Issue 4, 172-175

https://doi.org/10.29333/ejgm/82524

Publication date: 15 Oct 2007

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