Treatment of primary spontaneous pneumothorax at a tertiary centre

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Recurrence of primary spontaneous pneumothorax.

BACKGROUND Primary spontaneous pneumothorax (PSP) is a common clinical problem and its incidence is thought to be increasing. The risk of recurrence is high and various studies quote rates of 20-60%. Factors which may or may not predispose to recurrence have not yet been established. METHODS In a study period of four years 291 cases with a diagnosis of pneumothorax were reviewed; 153 patients...

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Etiology of primary spontaneous pneumothorax.

With the advent of HRCT, primary spontaneous pneumothorax has come to be better understood and managed, because its etiology can now be identified in most cases. Primary spontaneous pneumothorax is mainly caused by the rupture of a small subpleural emphysematous vesicle (designated a bleb) or of a subpleural paraseptal emphysematous lesion (designated a bulla). The aim of this pictorial essay w...

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Primary Spontaneous Bilateral Pneumothorax in a Neonate

Pneumothorax, though rare, is a recognized cause of respiratory distress in the immediate newborn period. It may occur spontaneously or secondary to various underlying lung diseases. Here we share our experience of a neonate with spontaneous pneumothorax with mild to moderate respiratory distress, who recovered completely with conservative management with an oxygen-enriched atmosphere and no su...

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Simple sequential treatment for primary spontaneous pneumothorax: one step closer.

P rimary spontaneous pneumothorax (PSP) remains a significant clinical problem in emergency departments and respiratory medicine units. The management of minimally symptomatic patients presenting with their first small PSP on a chest radiograph is straightforward; a period of simple observation with follow-up chest radiography will usually suffice. Attempts to prevent recurrence at this stage a...

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Ambulatory management of large primary spontaneous pneumothorax.

In a recent issue of the European Respiratory Journal, MASSONGO et al. [1] reported the results of a prospective study dealing with ambulatory management of primary spontaneous pneumothorax (PSP) using a pigtail catheter with one-way valve in a series of 60 consecutive patients. The authors reported a success rate of 83%, a 1-year recurrence rate of 17% and full outpatient management in 50% of ...

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ژورنال

عنوان ژورنال: International Journal of Surgery

سال: 2016

ISSN: 1743-9191

DOI: 10.1016/j.ijsu.2016.08.128