Volume 6, Issue 4, July 2020, Page: 56-60
Spontaneous Pneumothorax - Therapeutic Attitude - Brief Review
Claudiu-Eduard Nistor, Department of Thoracic Surgery, Central Military Emergency University Hospital “Carol Davila”, Bucharest, Romania
Adrian Ciuche, Department of Thoracic Surgery, Central Military Emergency University Hospital “Carol Davila”, Bucharest, Romania
Camelia Stanciu-Găvan, Department of Thoracic Surgery, Central Military Emergency University Hospital “Carol Davila”, Bucharest, Romania; Faculty of Medicine, University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania
Received: Jul. 26, 2020;       Accepted: Aug. 14, 2020;       Published: Sep. 3, 2020
DOI: 10.11648/j.ijcts.20200604.12      View  174      Downloads  66
Background: Spontaneous pneumothorax is a type of air collection in the pleural cavity that it develops in the absence of trauma or an iatrogenic cause. It may become an emergency in thoracic surgery. The anatomical substrate of spontaneous pneumothorax is represented by blisters. But we must not minimize the emphysema bubbles that appear in the lung parenchyma, which may also be a common cause of spontaneous pneumothorax. In order to appear the spontaneous pneumothorax, it is considered necessary to have an area of minimal resistance in the visceral pleura and also a triggering element. For decades, the therapeutic options are been discussed. Objectives: literature review and updating of scientific data Method: The management of conservative treatment is known, ambulatory air aspiration, drain tube installation, video-assisted thoracoscopic surgery The use of chemical pleurodesis - betadine versus talc and mechanical - pleural abrasion, resection of blisters or ligature at their base, apical pleurectomy, are therapeutic options that are custom applied for each case. The current diagnostic and treatment guidelines have been designed about 10 years ago and with a little change. Results: We support the use as a chemical agent of betadine to prevent recurrences with a similar effect to that of talc. We concluded that the introduction of betadine into the drain tube after minimal pleurotomy for symphysis, can sometimes lead to local pain, sometimes atrocious, unbearable, even simulating the myocardial infarction pain. Therefore, before applying the chemical, we recommend the systemic analgesics and local analgesic from the amide group. Video-assisted thoracic surgery is the main surgical technique for treating pneumothorax in order to prevent recurrences. Conclusions - We considered necessary a mini-revision of the literature in order to update the scientific data and the effective treatment methods with the mention of some own amendments regarding the therapeutic options.
Spontaneous Pneumothorax, Thoracic Tube, Video Assisted Thoracoscopic Surgery, Chemical Pleurodesis
To cite this article
Claudiu-Eduard Nistor, Adrian Ciuche, Camelia Stanciu-Găvan, Spontaneous Pneumothorax - Therapeutic Attitude - Brief Review, International Journal of Cardiovascular and Thoracic Surgery. Vol. 6, No. 4, 2020, pp. 56-60. doi: 10.11648/j.ijcts.20200604.12
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