European Journal of General Medicine
Medical Investigations Society
Vol. 4, No. 4, 2007, pp. 172-175
Bioline Code: gm07040
Full paper language: English
Document type: Research Article
Document available free of charge
European Journal of General Medicine, Vol. 4, No. 4, 2007, pp. 172-175
© Copyright 2007 - Medical Investigations Society
Retrospective Analysis Of Treatment Options In First Recurrences Of Primary Spontaneous Pneumothorax In Young Adults|
Görür, Rauf; Kutlu, Ali; Sönmez, Güner; Yiğit, Nurettin; Candaş, Fatih; Kunter, Erdoğan & Isıtmangil, Turgut
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.
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.
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.
The present study strongly suggests VATS for management of first recurrences of
PSP following pleural abrasion.
Tumor marker, CEA, CA 15-3, CA-125, CA 19-9, pleural effusion
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