New insights into spontaneous pneumothorax: A review

Louw, E.; Shaw, J A; Koegelenberg, C F N

doi:10.7196/ajtccm.2021.v27i1.054

Cited by 9 publications

(3 citation statements)

References 54 publications

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“…All patients with symptoms should be managed with chest tube for drainage, surgical treatment options include open thoracotomy or video assisted thoracoscopic surgery, but our technique is open method after 4 or 5 days because of persistent air leak for resection of blebs or bullae to treat underlying defect as the study of Inderbitzi and associates [12,14,15] Patients with primary spontaneous pneumothorax were young [81%] male population, while in Secondary spontaneous pneumothorax patients were older male [19%] population. Chew et al studied 116 patients with PSP treated in an Australian tertiary hospital, male population accounted for 75% of patients and the mean age was 37 years [16][17][18][19] Surgery was performed on 21 patients [17 males and 4 females]. Indications for surgery were recurrent pneumothorax in 4 cases, persistent air leak in 17 cases for more than 4 or 5 days, as in the study of Bertrand and associates [20] .…”

Section: Discussionmentioning

confidence: 99%

Role of Surgical Glue in Persistent Air Leak in Spontaneous Pneumothorax

Elbadawy

Farag

Nosair

2021

International Journal of Medical Arts

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Article informationBackground: Surgical glue [synthetic cyanoacrylic glue] is a sealant material used in treatment of persistent air leak in primary, secondary and recurrent spontaneous pneumothorax after repair of bronco pleural fistula by synthetic sutures as polypropylene or polydioxanone materials. The aim of the work: We aimed to evaluate the effect of surgical glue in treatment of cases of persistent air leak after surgical repair in comparison to surgical repair only. Patients and Methods: A retrospective analysis was performed of 21 patients who underwent surgery for persistent air leak at our department in Al Zahra and Dar Elhekma hospital from May 2015 to December 2018 where age ranges from 32 to 55 and they were 4 females and 17 males, surgical glue used in a group of patients [group A] and another patients as a comparison group without using the glue [group B].11 patients were treated by excision of blebs or bullae with closure of feeding bronchus by synthetic sutures with application of surgical glue and 10 patients were treated by excision only without application of glue. Results: Thoracotomy done in all patients via posterolateral thoracotomy. Operative time, chest tube removal, and hospital stay were significant in group A versus group B. Superficial wound infection in one case in group A without mortality in both groups, one case of persistent air leak and 4 cases of recurrent pneumothorax within two years of follow up in group B. Conclusion: Use of surgical glue [sealant] applied in reducing air leak associated with spontaneous pneumothorax and in recurrent pneumothorax was safe and effective.

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Section: Discussionmentioning

confidence: 99%

Role of Surgical Glue in Persistent Air Leak in Spontaneous Pneumothorax

Elbadawy

Farag

Nosair

2021

International Journal of Medical Arts

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“…It can be classified as a primary spontaneous pneumothorax (PSP) where there is no obvious underlying lung disease. The most common cause is usually a small bulla or bleb in the lung [1][2]. Comparatively, secondary spontaneous pneumothorax (SSP) happens due to underlying lung diseases such as chronic obstructive pulmonary disease (COPD) [3].…”

Section: Original Manuscriptmentioning

confidence: 99%

Treating Spontaneous Pneumothorax Using an Innovative Surgical Technique Called Capnodissection Pleurectomy: Case Report

Qsous,

Ramaraj,

Avtaar Singh

et al. 2024

Interact J Med Res

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Spontaneous pneumothorax (SP) is one of the most common conditions encountered in thoracic surgery. This condition can be treated conservatively or surgically based on indications and guidelines. Traditional surgical management includes pleurodesis (mechanical or chemical) in addition to bullectomy if the bullae can be identified. Mechanical pleurodesis is usually performed by surgical pleurectomy or pleural abrasion.

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“…Spontaneous pneumothorax is a condition characterized by the sudden presence of air within the pleural space without apparent external cause, which may result in lung collapse and impaired respiratory function. 1 It is one of the common cases encountered in the emergency department. Chest tube drainage is a common intervention for the management of pneumothorax, which involves the insertion of a tube into the pleural space to evacuate the air and allow the lung to re-expand.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for re-expansion pulmonary edema following chest tube drainage in patients with spontaneous pneumothorax: A systematic review and meta-analysis

Willim,

Munthe,

Vanto

et al. 2024

J Cardiovasc Thorac Res

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Re-expansion pulmonary edema (RPE) is a rare but potentially life-threatening complication that can occur after rapid lung expansion following the management of lung collapse. This meta-analysis aimed to investigate the risk factors for RPE following chest tube drainage in patients with spontaneous pneumothorax. We conducted a comprehensive systematic literature search in electronic databases of PubMed, ScienceDirect, Cochrane Library, and ProQuest to identify studies that explore the risk factors for RPE following chest tube drainage in spontaneous pneumothorax. Pooled odds ratios (OR) or weighted mean differences (WMD) were calculated to evaluate the risk factors. Statistical analysis was conducted using Review Manager 5.3 software. Five studies involving 1.093 spontaneous pneumothorax patients were included in this meta-analysis. The pooled analysis showed that the following risk factors were significantly associated with increased risk of RPE following chest tube drainage: the presence smoking history (OR=1.94, 95% CI: 1.22-3.10, P=0.005, I2=0%), longer duration of symptoms (WMD=3.76, 95% CI: 2.07-5.45, P<0.0001, I2=30%) , and larger size of pneumothorax (WMD=16.76, 95% CI: 8.88-24.64, P<0.0001, I2=78%). Age, sex, and location of pneumothorax had no significant association. In patients with spontaneous pneumothorax, the presence of smoking history, longer duration of symptoms, and larger size of pneumothorax increase the risk of development of RPE following chest tube drainage.

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New insights into spontaneous pneumothorax: A review

Abstract: This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.

Cited by 9 publications

References 54 publications

Role of Surgical Glue in Persistent Air Leak in Spontaneous Pneumothorax

Role of Surgical Glue in Persistent Air Leak in Spontaneous Pneumothorax

Treating Spontaneous Pneumothorax Using an Innovative Surgical Technique Called Capnodissection Pleurectomy: Case Report

Risk factors for re-expansion pulmonary edema following chest tube drainage in patients with spontaneous pneumothorax: A systematic review and meta-analysis

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