1.
Eficacia y morbimortalidad del tratamiento quirurgico mediante videotoracoscopia y pleurodesis con talco del neumotorax espontaneo primario.
Marmol Cazas, E.E.; Martinez Somolinos, S.; Baldo Padro, X.; Rubio Garay, M.M.; Penagos Tafurt, J.C.; Sebastian Quetglas, F.
Cirugia Espanola (English Edition)
vol. 89 issue 7 August - September, 2011. p. 463-467
► Introduction: A primary spontaneous pneumothorax (PSP) is due to the presence of air…
(more)
▼ Introduction: A primary spontaneous pneumothorax (PSP) is due to the presence of air in the pleural space and is of unknown cause or aetiology. The main characteristic of this condition is its high tendency to re-occur. This study has two objectives: (1) to determine the efficacy of lung resection surgery using a videothorascope and talc pleurodesis and (2) to analyse the complications originating from the use of talc. Material and methods: A review was carried out on a series of 130 PSP cases treated using videothorascopy, with or without parenchymal resection, and pleurodesis with 3g of asbestos-free talc (STERITAL®). Epidemiological data were collected, including the diagnostic method, surgical indication, mortality, general morbidity, and the specific morbidity due to talc pleurodesis, the number of recurrences, and their treatment. Results: The patients had a mean age of 26.4 years, 84.3% were male, and 69% smoked. The surgical indication of the PSP was recurrence in 74.4% of cases. There was morbidity in 9 (7%) cases, with the most frequent complication being an air leak. No specific complication, such as empyema, pachypleuritis or adult respiratory distress syndrome (ARDS), on the use of talc was recorded. The mean follow-up was 10.1 months, during which there was recurrence in 4 (3%) cases. Conclusions: PSP treatment by videothorascopic talc pleurodesis is highly effective, superior to other techniques used to produce pleurodesis, has a low general morbidity, no mortality, and no specific complications due to the talc.
Keywords: Pneumothorax; Videothoracoscopy; Pleurodesis; Talc; Neumotorax; Videotoracoscopia
DOI: 10.1016/j.cireng.2011.02.001. ISSN: 2173-5077.
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Similar Records
2.
Eficacia y morbimortalidad del
tratamiento quirurgico mediante videotoracoscopia y pleurodesis con
talco del neumotorax espontaneo primario.
Marmol Cazas, E.E.; Martinez Somolinos, S.; Baldo Padro, X.; Rubio Garay, M.M.; Penagos Tafurt, J.C.; Sebastian Quetglas, F.
Cirugia Espanola (English
Edition)
vol. 89 issue 7 August - September,
2011. p. 463-467
► Introduction: A primary spontaneous pneumothorax (PSP) is due to the presence of air…
(more)
▼ Introduction: A primary
spontaneous pneumothorax (PSP) is due to the presence of air in the
pleural space and is of unknown cause or aetiology. The main
characteristic of this condition is its high tendency to re-occur.
This study has two objectives: (1) to determine the efficacy of
lung resection surgery using a videothorascope and talc pleurodesis
and (2) to analyse the complications originating from the use of
talc. Material and methods: A review was carried out on a series of
130 PSP cases treated using videothorascopy, with or without
parenchymal resection, and pleurodesis with 3g of asbestos-free
talc (STERITAL®). Epidemiological
data were collected, including the diagnostic method, surgical
indication, mortality, general morbidity, and the specific
morbidity due to talc pleurodesis, the number of recurrences, and
their treatment. Results: The patients had a mean age of 26.4
years, 84.3% were male, and 69% smoked. The surgical indication of
the PSP was recurrence in 74.4% of cases. There was morbidity in 9
(7%) cases, with the most frequent complication being an air leak.
No specific complication, such as empyema, pachypleuritis or adult
respiratory distress syndrome (ARDS), on the use of talc was
recorded. The mean follow-up was 10.1 months, during which there
was recurrence in 4 (3%) cases. Conclusions: PSP treatment by
videothorascopic talc pleurodesis is highly effective, superior to
other techniques used to produce pleurodesis, has a low general
morbidity, no mortality, and no specific complications due to the
talc.
Keywords: Pneumothorax; Videothoracoscopy; Pleurodesis; Talc; Neumotorax; Videotoracoscopia
DOI: 10.1016/j.cireng.2011.02.001. ISSN: 2173-5077.
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3.
Pneumotorax espontaneo num pulmao vicariante.
Marinho, A.; Lima, B.; Araujo, I.; Bastos, P.; Agostinho Marques, J.; Gomes, I.
Revista Portuguesa de Pneumologia (English Edition)
vol. 13 issue 4 July - August, 2007. p. 613-617
► Spontaneous contralateral pneumothorax after pneumonectomy is a rare condition. A high index of…
(more)
▼ Spontaneous contralateral pneumothorax after pneumonectomy is a rare condition. A high index of suspicion is required for a correct diagnosis. Management can be challenging, as surgical intervention, if necessary, is a very high risk procedure. Chemical pleurodesis can be a simple and effective measure in cases with no major air leak. We describe the case of a 21-year-old female with spontaneous pneumothorax in a single lung, which posed several diagnostic and therapeutic problems. The presence of a ''buffalo chest'' made the initial chest x-ray interpretation difficult. The patient had an important air leak without complete pulmonary expansion and thoracic surgery was considered of risk. Accordingly, instillation of talc slurry through one of the thoracic drains was undertaken with eventual resolution. We are convinced that bronco-pleural fistula resolution was facilitated by slurry talc, despite complete lung expansion never having been achieved.
Keywords: Pneumothorax; pneumonectomy; ''buffalo-chest''; air-leak; slurry talc; Pneumotorax; pneumonectomia; pulmao vicariante; fistula broncopleural
DOI: 10.1016/S2173-5115(07)70353-6. ISSN: 2173-5115.
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4.
Videothoracoscopic treatment of primary spontaneous pneumothorax: a 6-year experience.
Cardillo, G.; Facciolo, F.; Giunti, R.; Gasparri, R.; Lopergolo, M.; Orsetti, R.; Martelli, M.
The Annals of Thoracic Surgery
vol. 69 issue 2 February, 2000. p. 357-361
► Background. Timing and surgical approach in the treatment of primary spontaneous pneumothorax (PSP)…
(more)
▼ Background. Timing and surgical approach in the treatment of primary spontaneous pneumothorax (PSP) are not well defined. The objective of this study is to propose a treatment protocol by videothoracoscopy (VATS) in PSP. Methods. From July 1992 to May 1998, 432 patients underwent VATS treatment of PSP. Indications were: recurrent ipsilateral pneumothorax: 322 cases; persistent air leak following a first episode: 93 patients; recurrence following VATS: 16 cases; recurrence following thoracotomy: 1 patient. Vanderschueren's classification was used for staging. Surgical indications were: stages I and II, subtotal pleurectomy or talc poudrage; stages III and IV, stapling or ligation of the bullae and subtotal pleurectomy or talc poudrage. Differences in recurrence rates were calculated to compare the specific procedures. Results. No postoperative deaths occurred. Complication rate was 4.16%. Conversion rate was 2.3%. Mean follow-up was 38 months (2 to 72 months). Overall recurrence rate was 4.4%. Specific recurrence rates following stapling and talc poudrage were, respectively, 1.27% and 1.79%. Talc poudrage and stapling of the bullae are respectively superior to subtotal pleurectomy (p < 0.0001) and ligation (p < 0.0001). Conclusions. Stapling of the bullae and talc poudrage by VATS represent the treatment of choice of PSP.
DOI: 10.1016/S0003-4975(99)01299-0. ISSN: 0003-4975.
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5.
Cirugia toracoscopica monoportal utilizando el instrumento SILS® como un metodo novedoso en el tratamiento quirurgico del neumotorax.
Castro, O.G.; Gonzalez, L.B.; Gomez, E.S.
Archivos de Bronconeumologia (Internet)
vol. 46 issue 8 2010. p. 439-441
► Single Incision Laparoscopic Surgery (SILS) has recently been used by general surgeons to…
(more)
▼ Single Incision Laparoscopic Surgery (SILS) has recently been used by general surgeons to perform cholecystectomies and pre-peritoneal hernia repairs with mesh using minimally invasive surgery, thus decreasing post-operative pain and a more cosmetic result of the surgery being obtained. We describe the first cases of video-assisted thoracic surgery (VATS) in spontaneous pneumothorax using the SILS system. There are no previous reports on the use of the SILS system in VATS for spontaneous pneumothorax. This system also allows us to obtain a more cosmetic surgical result, as well as decreasing the mean post-operative hospital stay and the need for analgesics to improve the post-operative pain.
Keywords: Spontaneous pneumothorax; Bullectomy; Single port thorascopy; SILS; Neumotorax espontaneo; Bullectomia; Toracoscopia monoportal; Single incision laparoscopic surgery
DOI: 10.1016/S1579-2129(10)70103-8. ISSN: 1579-2129.
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6.
Reexpansion pulmonary edema after
treatment of simultaneous bilateral spontaneous tension
pneumothorax.
Kwon, Jong Bum; Choi, Si Young; Kim, Chi Kyung; Park, Chan Beom.
Journal of Cardiothoracic
Surgery
vol. 8 issue 1 2013. p. 62
► We report a case of 46-year-old male with simultaneous bilateral spontaneous tension pneumothorax.…
(more)
▼ We report a case of
46-year-old male with simultaneous bilateral spontaneous tension
pneumothorax. Severe reexpansion pulmonary edema developed after
bilateral tube thoracoscomy, but he was recovered after
2 days ventilator care. After bilateral wedge resection
and talc pleurodesis, he was discharged without complications and
had remained well and without recurrence during the 8-year
follow-up.
Keywords: Pneumothorax; Pulmonary edema; Chest tubes
DOI: 10.1186/1749-8090-8-62. ISSN: 1749-8090.
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