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Primary spontaneous pneumothorax

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https://www.readbyqxmd.com/read/28298628/the-size-of-spontaneous-pneumothorax-is-a-predictor-of-unsuccessful-catheter-drainage
#1
Tung-Ming Tsai, Mong-Wei Lin, Yao-Jen Li, Chin-Hao Chang, Hsien-Chi Liao, Chao-Yu Liu, Hsao-Hsun Hsu, Jin-Shing Chen
Small-bore thoracic catheter drainage is recommended for a first large or symptomatic episode of primary spontaneous pneumothorax (PSP). However, one-third of these patients require a second procedure because of treatment failure. We investigated the factors associated with unsuccessful pigtail catheter drainage in the management of PSP. In this retrospective study, using a prospectively collected database, we enrolled 253 consecutive patients with PSP who underwent pigtail catheter drainage as initial treatment, from December 2006 to June 2011...
March 15, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28275481/the-influence-of-chest-tube-size-and-position-in-primary-spontaneous-pneumothorax
#2
Sara S Riber, Lars P S Riber, Winnie H Olesen, Peter B Licht
BACKGROUND: Optimal chest tube position in the pleural cavity is largely unexplored for the treatment of primary spontaneous pneumothorax (PSP). We investigated whether type, size and position of chest tubes influenced duration of treatment for PSP. METHODS: A retrospective follow-up study of all patients admitted with PSP over a 5-year period. Traumatic, iatrogenic and secondary pneumothoraxes were excluded. Gender, age, smoking habits, type and size of chest tube used (pigtail catheter or surgical chest tube) were recorded from the patients' charts...
February 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28224348/a-need-to-reconsider-guidelines-on-management-of-primary-spontaneous-pneumothorax
#3
Jiyoon Yoon, Parthipan Sivakumar, Kevin O'Kane, Liju Ahmed
BACKGROUND: The key guidelines in the management of primary spontaneous pneumothorax (PSP) include the 2010 British Thoracic Society (BTS) Pleural Disease guideline and 2001 American College of Chest Physicians (ACCP) Consensus Statement. Current recommendations are dependent on radiographic measures which differ between these two guidelines. The aim of this study is to compare size classification of PSP cases, according to BTS and ACCP guidelines, and to evaluate guideline compliance...
December 2017: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28213720/feasibility-of-single-incision-thoracoscopic-surgery-using-a-modified-chest-wall-pulley-for-primary-spontaneous-pneumothorax-a-propensity-score-matching-analysis
#4
Kenji Tsuboshima, Machiko Nagata, Teppei Wakahara, Yasumi Matoba, Yoshimasa Maniwa
PURPOSE: Recently, single-incision thoracoscopic surgery (SITS) has been recognized as a favorable treatment choice for primary spontaneous pneumothorax (PSP) compared with conventional three-port video-assisted thoracoscopic surgery (VATS). However, conventional SITS bullectomy often results in collisions with surgical devices. Therefore, we devised a method of SITS using a chest wall pulley for lung excision (PulLE) and modified PulLE (mPulLE) system, which substitutes threads to eliminate such collisions...
February 17, 2017: Surgery Today
https://www.readbyqxmd.com/read/28205019/a-deep-azygoesophageal-recess-may-increase-the-risk-of-secondary-spontaneous-pneumothorax
#5
Tsuyoshi Takahashi, Mitsuaki Kawashima, Hideki Kuwano, Kazuhiro Nagayama, Jyunichi Nitadori, Masaki Anraku, Masaaki Sato, Tomohiro Murakawa, Jun Nakajima
PURPOSE: The azygoesophageal recess (AER) is known as a possible cause of bulla formation in patients with spontaneous pneumothorax. However, there has been little focus on the depth of the AER. We evaluated the relationship between the depth of the AER and pneumothorax development. METHODS: We conducted a retrospective study of 80 spontaneous pneumothorax patients who underwent surgery at our institution. We evaluated the depth of the AER on preoperative computed tomography scans...
February 15, 2017: Surgery Today
https://www.readbyqxmd.com/read/28180108/acute-respiratory-distress-syndrome-after-viscum-album-pleurodesis-for-primary-spontaneous-pneumothorax
#6
Dongsub Noh, Joon Suk Park, Doo Yun Lee
A 52-year-old male patient who underwent multiple wedge resections experienced postoperative acute respiratory distress syndrome in both lungs after Viscum album pleurodesis. Despite initial rapid deterioration in clinical condition and rapid progression of bilateral lung infiltration, he exhibited a relatively smooth clinical recovery with marked response to glucocorticoid treatment. Our case report suggests that care must be taken to guard against the development of acute respiratory complications in the use of Viscum album for pleurodesis...
February 2017: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28168984/pleurectomy-versus-pleural-abrasion-for-primary-spontaneous-pneumothorax-in-children
#7
Shahrzad Joharifard, Brian A Coakley, Sonia A Butterworth
PURPOSE: Primary spontaneous pneumothorax (PSP) represents a common indication for urgent surgical intervention in children. First episodes are often managed with thoracostomy tube, whereas recurrent episodes typically prompt surgery involving apical bleb resection and pleurodesis, either via pleurectomy or pleural abrasion. The purpose of this study was to assess whether pleurectomy or pleural abrasion was associated with lower postoperative recurrence. METHODS: The records of patients undergoing surgery for PSP between February 2005 and December 2015 were retrospectively reviewed...
January 27, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28149629/surgery-for-primary-spontaneous-pneumothorax
#8
COMMENT
Christophoros N Foroulis
No abstract text is available yet for this article.
December 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28149563/association-between-postoperative-bulla-neogenesis-at-the-staple-line-and-resected-lung-weight-for-primary-spontaneous-pneumothorax-a-retrospective-study-using-the-inverse-probability-of-treatment-weighted-method-in-patients-grouped-according-to-age
#9
Kenji Tsuboshima, Machiko Nagata, Teppei Wakahara, Yasumi Matoba, Yoshimasa Maniwa
BACKGROUND: Bullectomy using autosutures is the standard procedure in patients with primary spontaneous pneumothorax (PSP). However, postoperative bulla neogenesis (POBN) along the staple line is relatively common and promotes PSP recurrence. We have previously reported the relationship between POBN and resected lung weight (LW). However, recently published data indicate that young patients with PSP have a high postoperative recurrence rate. Therefore, we evaluated the relationship between POBN and LW in PSP patients, subdivided according to age...
December 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28149562/correlation-of-matrix-metalloproteinase-2-and-9-expression-with-recurrences-in-primary-spontaneous-pneumothorax-patients
#10
Wen-Chin Chiu, Yi-Chen Lee, Yu-Han Su, Chee-Yin Chai, Stephen Chu-Sung Hu, Shyng-Shiou F Yuan, Shah-Hwa Chou
BACKGROUND: Primary spontaneous pneumothorax (PSP) is a common benign disorder. However, unpredictable recurrence is a major concern for most patients. The aim of the present study was to assess the role of matrix metalloproteinase-2 (MMP-2) and MMP-9 in alveolar macrophages of patients with PSP and its relationship with recurrence. METHODS: Ninety-two patients who received needlescopic video-assisted thoracoscopic surgery (NVATS) wedge resection of lung with identifiable blebs for PSP were enrolled for the study...
December 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28099064/surgical-intervention-for-primary-spontaneous-pneumothorax-in-pediatric-population-when-and-why
#11
Fanny Yeung, Patrick H Y Chung, Esther L Y Hung, Chi Sum Yuen, Paul K H Tam, Kenneth K Y Wong
INTRODUCTION: Spontaneous pneumothorax in pediatric patients is relatively uncommon. The management strategy varies in different centers due to dearth of evidence-based pediatric guidelines. In this study, we reviewed our experience of thoracoscopic management of primary spontaneous pneumothorax (PSP) in children and identified risk factors associated with postoperative air leakage and recurrence. MATERIALS AND METHODS: We performed a retrospective analysis of pediatric patients who had PSP and underwent surgical management in our institution between April 2008 and March 2015...
January 18, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28096830/is-it-possible-to-standardize-the-treatment-of-primary-spontaneous-pneumothorax-part-2-surgical-methods-of-treatment
#12
Wojciech Rokicki, Marek Rokicki, Jacek Wojtacha, Marek Filipowski, Agata Dżejlili, Damian Czyżewski
The present report provides a detailed description of the surgical methods for primary spontaneous pneumothorax (PSP) treatment, from open surgery (thoracotomy) to minimally invasive procedures (video-assisted thoracoscopic surgery - VATS). It describes the methods of preventing pneumothorax recurrence, including partial or complete resection of the parietal pleura and chemical pleurodesis with VATS. The pros and cons of each method are presented. The paper also discusses new techniques for diagnosing pneumothorax, such as fluorescein-enhanced autofluorescence thoracoscopy (FEAT) and infrared thoracoscopy...
December 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/28096829/is-it-possible-to-standardize-the-treatment-of-primary-spontaneous-pneumothorax-part-1-etiology-symptoms-diagnostics-minimally-invasive-treatment
#13
Wojciech Rokicki, Marek Rokicki, Jacek Wojtacha, Marek Filipowski, Agata Dżejlili, Damian Czyżewski
The authors of this report present the history of primary spontaneous pneumothorax (PSP) treatment, its etiology, clinical symptoms, and diagnostic methodology. Further, they discuss minimally invasive methods of treating PSP such as thoracentesis and chemical pleurodesis. They discuss the pros and cons of each method, emphasizing that, according to the international recommendations, they should be used as the first line of treatment for PSP.
December 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/28088269/association-of-mmp-2-and-mmp-9-expression-with-recurrences-in-primary-spontaneous-pneumothorax
#14
Ying-Fong Huang, Wen-Chin Chiu, Shah-Hwa Chou, Yu-Han Su, Yu-Wen Chen, Chee-Yin Chai, Chih-Jen Huang, Ming-Yii Huang, Shyng-Shiou F Yuan, Yi-Chen Lee
Primary spontaneous pneumothorax (PSP) is a common benign problem. However, PSP recurrence is still a troublesome complication for most patients. This study intended to determine the role of matrix metalloproteinase-2 (MMP-2) and MMP-9 in type II pneumocytes of patients with PSP and its relation with recurrence. Ninety-one patients who had undergone needlescopic video-assisted thoracoscopic surgery wedge resection of lung with identifiable blebs for PSP were included in this study. Immunohistochemical (IHC) staining was used to measure the expression of MMP-2 and MMP-9 in lung tissues of PSP patients...
January 2017: Kaohsiung Journal of Medical Sciences
https://www.readbyqxmd.com/read/28066601/postoperative-predictors-of-ipsilateral-and-contralateral-recurrence-in-patients-with-primary-spontaneous-pneumothorax
#15
Ying-Yi Chen, Hsu-Kai Huang, Hung Chang, Shih-Chun Lee, Tsai-Wang Huang
BACKGROUND: Preventive surgery for contralateral recurrence of primary spontaneous pneumothorax (PSP) remains controversial and few studies discussed both ipsilateral and contralateral recurrences simultaneously. Thus, we aimed to identify the predictors of ipsilateral and contralateral PSP recurrence and to review literatures on the association of blebs/bullae on HRCT with PSP recurrence. METHODS: We retrospectively reviewed consecutive patients who were treated at our hospital for first recurrence of PSP between January 2001 and December 2005...
November 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27995774/occult-primary-pulmonary-synovial-sarcoma-presenting-as-recurrent-spontaneous-pneumothorax-and-explosive-progression
#16
Chenglin Guo, Chengwu Liu, Qiang Pu, Feng Lin, Lunxu Liu
Primary pulmonary synovial sarcoma (PPSS) is a relatively rare neoplasm with highly progressive potential. We present an extremely rare case of PPSS presenting as recurrent pneumothorax with bullous lesions. Bullectomy was performed at the local hospital. Unfortunately, the patient was initially misdiagnosed as atypical carcinoid. Although a negative resection margin was obtained during the first surgery and a remedial operation and chemotherapy followed, the patient developed severe disease progression and died soon after...
March 2017: Thoracic Cancer
https://www.readbyqxmd.com/read/27986981/-pulmonary-causes-of-chest-pain
#17
B Jany
Chest pain represents one of the most frequent symptoms of pulmonary diseases, in addition to dyspnea and cough. The broad differential diagnostics include the intensely painful but prognostically benign acute pleurisy as well as potentially life-threatening events, such as acute pulmonary embolism or malignant chest diseases. Primary spontaneous pneumothorax is characterized by acute chest pain. Pain associated with a respiratory infection, such as pneumonia rarely poses a difficult diagnostic problem. Painful diseases of the lungs can be differentiated in an initial approach by asking the patient if the pain is related to breathing, which is characteristic of pleuritic chest diseases...
January 2017: Der Internist
https://www.readbyqxmd.com/read/27938546/-soft-tissue-angiosarcoma-with-pulmonary-metastases-case-report-and-literature-review
#18
X L Mu, Z X Wu, H J Liang, Z Wang, X Fang, D H Yang, Z L Cao, Z C Gao
Objective: To investigate the differential diagnosis between pulmonary metastases from soft-tissue angiosarcoma and primary pulmonary angiosarcoma. Methods: A case of soft-tissue angiosarcoma with pulmonary metastases was reported and related literatures were reviewed. Results: A 39 year-old man complaining of hemoptysis, cough, and sputum for 10 months was admitted to our hospital in September 2013. He was initially diagnosed as having primary pulmonary angiosarcoma after wedge-resection biopsy of the lung...
December 12, 2016: Chinese Journal of Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/27909813/outcome-and-risk-factors-of-recurrence-after-thoracoscopic-bullectomy-in-young-adults-with-primary-spontaneous-pneumothorax
#19
Takashi Nakayama, Yusuke Takahashi, Hirofumi Uehara, Noriyuki Matsutani, Masafumi Kawamura
PURPOSE: To investigate the risk factors of recurrence of pneumothorax following thoracoscopic bullectomy in young adults. METHODS: Between January, 2005 and September, 2015, 167 patients aged ≤40 years underwent initial thoracoscopic bullectomy for primary spontaneous pneumothorax (PSP) at our hospital. Recurrence-free probability was calculated from the date of surgery to recurrence or last follow-up, using the Kaplan-Meier method. RESULTS: Sixteen (9...
December 1, 2016: Surgery Today
https://www.readbyqxmd.com/read/27909771/association-between-bmi-and-recurrence-of-primary-spontaneous-pneumothorax
#20
Juntao Tan, Yang Yang, Jianhong Zhong, Chuantian Zuo, Huamin Tang, Huimin Zhao, Guang Zeng, Jianfeng Zhang, Jianji Guo, Nuo Yang
BACKGROUND: Whether body mass index (BMI) is a significant risk factor for recurrence of primary spontaneous pneumothorax (PSP) remains controversial. The purpose of this study was to examine whether BMI and other factors are linked to risk of PSP recurrence. METHODS: A consecutive cohort of 273 patients was retrospectively evaluated. Patients were divided into those who experienced recurrence (n = 81) and those who did not (n = 192), as well as into those who had low BMI (n = 75) and those who had normal or elevated BMI (n = 198)...
December 1, 2016: World Journal of Surgery
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