Pneumothorax surgery: Difference between revisions
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* Patient should be positioned upright, unless there is a contraindication to it, such as spinal injury. | * Patient should be positioned upright, unless there is a contraindication to it, such as spinal injury. | ||
===Oxygen therapy=== | |||
==Surgical techniques== | ==Surgical techniques== |
Revision as of 15:38, 16 February 2018
Pneumothorax Microchapters |
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Treatment |
Case Studies |
Pneumothorax surgery On the Web |
American Roentgen Ray Society Images of Pneumothorax surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]
Overview
Surgical intervention is not recommended for the management of [disease name].
OR
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
OR
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
Surgery is the mainstay of treatment for [disease or malignancy].
Indications
Manangement of pneumothorax depends on the following factors:
- Size of the pneumothorax
- Underlying disease/procedure causing pneumothorax
- Associated comorbid condition
- Type of pneumothorax (open/closed vs simple/tension)
First aid
- In all patients with chest trauma, airway, breathing and circulation should be assessed as the first line management.
- It is important to maintain airway patency and prevent circulatory collapse
- Patient should be positioned upright, unless there is a contraindication to it, such as spinal injury.
Oxygen therapy
Surgical techniques
Following surgical techniques are used to treat pneumothorax:
- Open thoracotomy
- Video-assisted thoracoscopic (VATS)
Surgery
- Open thoracotomy used to be the most commonly used surgical procedure along with wedge resection of the leaking part of the lung.
- Nowadays, video-assisted thoracoscopic (VATS) surgery has widely replaced the open surgical procedure for spontaneous pneumothorax.
Tube thoracotomy
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Complications of the procedure
- Injury to lung or mediastinum,
- Excessive bleeding most likely from intercostal artery injury
- Neurovascular bundle injury
- Infection
- Bronchopleural fistula