scholarly journals Spontaneous Pneumothorax with Persistent Air Leakage and Invasive Procedures

2013 ◽  
Vol 52 (19) ◽  
pp. 2189-2192 ◽  
Author(s):  
Takahiro Haga ◽  
Masatoshi Kurihara ◽  
Hideyuki Kataoka
Keyword(s):  
Spontaneous Pneumothorax ◽  
Air Leakage ◽  
Invasive Procedures

scholarly journals A Case of Spontaneous Pneumothorax with Persistent Air Leakage During the Course of COVID-19

2021 ◽  
Author(s):  
Salıha Kanık Yüksek ◽  
Aslınur Özkaya Parlakay ◽  
Doğuş Güney ◽  
Belgin Gülhan ◽  
Gülsüm İclal Bayhan ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Pulmonary Involvement ◽  
Respiratory Support ◽  
Air Leakage ◽  
Pleural Involvement

Development of pneumothorax during the course of COVID-19 is very rare, and may occur secondary to severe pulmonary involvement causing alveolar damage in the parenchyma, or is seen as a complication of respiratory support. Until now, quite a few cases have been reported. Herein, we shared a case of spontaneous pneumothorax with persistent air leakage without any parenchymal or pleural involvement.

scholarly journals Thoracoscopic Treatment of Pneumothorax in Marfan Syndrome: Hemostatic Patch to Support Lung Resection Recovery

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Gloria Pelizzo ◽  
Eloisa Arbustini ◽  
Noemi Pasqua ◽  
Patrizia Morbini ◽  
Valeria Calcaterra
Keyword(s):  
Marfan Syndrome ◽  
Spontaneous Pneumothorax ◽  
Lung Resection ◽  
Pulmonary Involvement ◽  
High Rate ◽  
Supportive Treatment ◽  
Air Leakage ◽  
Recurrent Pneumothorax ◽  
Previous Diagnosis ◽  
History Of

Introduction. In selected patients, the absorbable fibrin patch TachoSil® is superior to standard surgical treatment in reducing air leakage after pulmonary lobectomy. Pulmonary involvement is not considered a main feature of Marfan syndrome (MFS); however, spontaneous pneumothorax (SP) with a high rate of recurrence is frequently reported. We describe the use of TachoSil® in the supportive treatment of recurrent pneumothorax in a girl with MFS. Case Report. A 12-year-old girl with a previous diagnosis of MFS and recurrent history of left spontaneous pneumothorax was submitted to thoracoscopic atypical lung resection. Two patches (9.5 × 4.8 cm) were cut from the adhesive/foam complex (TachoSil®) and were pressed against the sutured area as supportive treatment. The patient recovered with no further SP recurrences. Conclusions. The use of the TachoSil® surgical patch may be useful in pneumothorax supportive treatment, particularly in pediatric MFS by ameliorating the mechanical strength of the lung.

scholarly journals Uniportal VATS technique for primary spontaneous pneumothorax: An analysis of 46 cases

2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Hasan Oğuz Kapicibasi
Keyword(s):  
Spontaneous Pneumothorax ◽  
Surgical Intervention ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Primary Spontaneous Pneumothorax ◽  
First Episode ◽  
Histopathological Diagnosis ◽  
Air Leakage ◽  
Creative Commons ◽  
Duration Of Hospitalization

Objective: In the treatment of primary spontaneous pneumothorax (PSP), the influence of safety and applicability of uniportal video assisted thoracoscopic surgery (VATS) bullectomy/blebectomy and pleurectomy method were evaluated in 46 patients. Methods: Between November 2010 and January 2019, 46 patients (36 males, 10 females; mean age 24.2 years; range 16-36 years) undergoing uniportal video thoracoscopic bullectomy/blebectomy and apical pleurectomy for primary spontaneous pneumothorax were evaluated retrospectively at Canakkale Onsekiz Mart University (COMU). One patient underwent surgery for the second time after three months for contralateral pneumothorax and counted as two different patients, hence forty seven operations were performed in total. The cases were evaluated in terms of age, gender, comorbidity, duration of hospital stay, histopathological diagnosis, postoperative morbidity and mortality. Results: Right surgical intervention was performed in 20 cases (42.6%) and left surgical intervention in 27 cases (57.6%). A total of 15 (31.9%) surgical operations were performed during the first attack, 30 (63.8%) during the second attack and 2 (4.3%) during third and more attacks. There was prolonged air leakage in all patients operated during the first episode. All cases underwent wedge resection and pleurectomy with endoscopic stapes. None of the patients required thoracotomy. Postoperative drainage period was between 2-7 days (mean: 4.1) and the duration of hospitalization was between three to eight days. Postoperative pain and paraesthesia were observed in eight cases. Prolonged air leakage was observed in five cases. Conclusion: With video thoracoscopic uniportal technique, not only lung biopsy and resection but also bullectomy/blebectomy and pleurectomy operations can be performed safely in the treatment of PSP. In view of this information, minimally invasive techniques are seen as more advantageous than conventional techniques. doi: https://doi.org/10.12669/pjms.36.2.1556 How to cite this:Kapicibasi HO. Uniportal VATS technique for primary spontaneous pneumothorax: An analysis of 46 cases. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.1556 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Hemoptysis following Talc Pleurodesis in a Pneumothorax Patient

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Yusuke Kakiuchi ◽  
Fumihiro Yamaguchi ◽  
Makoto Hayashi ◽  
Yusuke Shikama
Keyword(s):  
Computed Tomography ◽  
Spontaneous Pneumothorax ◽  
Lung Metastases ◽  
Visceral Pleura ◽  
Air Leakage ◽  
Computed Tomography Scan ◽  
Chemical Pleurodesis ◽  
Talc Pleurodesis ◽  
Japanese Male ◽  
Tomography Scan

The purpose of this article is to report a case of hemoptysis occurring in combination with secondary spontaneous pneumothorax following chemical pleurodesis by talc. A Japanese male with cancer of renal pelvis was found with the left pneumothorax and multiple lung metastases. A computed-tomography scan revealed severe emphysema throughout the lungs. Talc pleurodesis was employed to arrest air leakage. The patient developed hemoptysis 45 minutes after talc injection into the thorax. This is the first report of hemoptysis following talc pleurodesis. The agent could induce severe inflammation in capillary vessels of the lung following visceral pleura infiltration.

Prolonged air leakage in secondary spontaneous pneumothorax: is proportion of emphysema important?

2016 ◽  
Vol 11 (6) ◽  
pp. 833-838 ◽  
Author(s):  
Serpil Sevinc ◽  
Seyda Ors Kaya ◽  
Tevfik Ilker Akcam ◽  
Kenan Can Ceylan ◽  
Ozgur Ozturk ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Air Leakage ◽  
Secondary Spontaneous Pneumothorax

scholarly journals Digital versus analogue chest drainage system in patients with primary spontaneous pneumothorax: a randomized controlled trial

2020 ◽  
Author(s):  
Kris Mooren ◽  
Dieuwertje Ruigrok ◽  
Peter W.A. Kunst ◽  
Marielle M.J. Blacha ◽  
Ben Tomlow ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Hospital Stay ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Controlled Trial ◽  
Drainage System ◽  
Air Leakage ◽  
Chest Drainage ◽  
Tube Drainage ◽  
Randomized Controlled

Abstract Background: Patients with a primary spontaneous pneumothorax (PSP) who are treated with chest tube drainage are traditionally connected to an analogue chest drainage system, containing a water seal and using a visual method of monitoring air leakage. Electronic systems with continuous digital monitoring of air leakage provide better insight into actual air leakage and changes in leakage over time, which may lead to a shorter length of hospital stay.Methods: We performed a randomized controlled trial comparing the digital with analogue system, with the aim of demonstrating that use of a digital drainage system in PSP leads to a shorter hospital stay.Results: In 102 patients enrolled with PSP we found no differences in total duration of chest tube drainage and hospital stay between the groups. However, in a post-hoc analysis, excluding 19 patients needing surgery due to prolonged air leakage, hospital stay was significantly shorter in the digital group (median 1 days, IQR 1-5 days) compared to the analogue group (median 3 days, IQR 2-5 days) (p 0.014). Treatment failure occurred in 3 patients in both groups; the rate of recurrence within 12 weeks was not significantly different between groups (16% in the digital group versus 8% in the analogue group, p 0.339).Conclusion: Length of hospital stay was not shorter in patients with PSP when applying a digital drainage system compared to an analogue drainage system. However, in the large subgroup of uncomplicated PSP, a significant reduction in duration of drainage and hospital stay was demonstrated with digital drainage. These findings suggest that digital drainage may be a practical alternative to manual aspiration in the management of PSP. Trial registration: https://www.trialregister.nl/trial/4022. Registered 22 September 2013 - Retrospectively registered, Trial NL4022 (NTR4195)

Applying Fibrin Glue under Pleurography for Intractable Secondary Spontaneous Pneumothorax

2019 ◽  
Author(s):  
Jeong Cho ◽  
Yeong Kim ◽  
Hoseok I. ◽  
Jung Eom ◽  
Hyo Ahn
Keyword(s):  
Fibrin Glue ◽  
Spontaneous Pneumothorax ◽  
Air Leakage ◽  
Air Leak ◽  
Short Term ◽  
Secondary Spontaneous Pneumothorax ◽  
Prolonged Air Leak ◽  
Postoperative Drainage ◽  
The Mean

Background Prolonged air leakage is a problem that can frequently develop in patients with a secondary spontaneous pneumothorax (SSP) or in those who undergo thoracic surgery. However, the management of an air leak is difficult and reoperation might be avoided due to several reasons including adhesions. Herein, we introduce a fibrin glue application under pleurography (FGAP) and short-term outcomes in patients who underwent this procedure. Methods FGAP was performed in 20 patients with an intractable persistent air leakage who had poor lung function, comorbidities to undergo general anesthesia and were expected severe adhesions due to previous surgery. All medical records were retrospectively reviewed. Results Eighteen cases sealed soon after dropping the glue. One patient had a prolonged air leak for 12 days and another patient required an operation to control air leakage 16 days after the procedure. The mean duration of postoperative drainage was 4.17 ± 2.11 days (range: 3–14 days). No postprocedural complications were recorded. The mean duration of follow-up was 12.01 ± 5.02 months (range: 4–22 months). Conclusion FGAP could be a treatment option to seal air leaks, especially in cases with intractable air leakage.

scholarly journals Pulmonary Pleomorphic Carcinoma Detected as a Result of Pneumothorax and the Subsequent Occurrence of Multiple Cystic Metastases

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Hideaki Yamakawa ◽  
Masahiro Yoshida ◽  
Masami Yabe ◽  
Yuri Baba ◽  
Emiri Baba ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Pulmonary Resection ◽  
Pleural Cavity ◽  
Pathological Diagnosis ◽  
Pleomorphic Carcinoma ◽  
Air Leakage ◽  
Neoplastic Tissue

A 39-year-old man was admitted for spontaneous pneumothorax. He underwent pulmonary resection to correct the lesion causing the air leakage, and a pathological diagnosis of pulmonary pleomorphic carcinoma was made because we thought that the pneumothorax developed due to the direct rupture of necrotic neoplastic tissue into the pleural cavity. After the operation, the patient received chemotherapy, during which multiple cystic metastases gradually developed in the lung that caused repeated occurrences of pneumothorax. Clinicians must be careful to recognize that pneumothorax can also be a complication of primary and various metastatic pulmonary malignancies.

scholarly journals A Case of Spontaneous Pneumothorax with Two Sites of Air Leakage

2012 ◽  
Vol 71 (3) ◽  
pp. 195-197
Author(s):  
Mie Shimamura ◽  
Takashi Muramatsu ◽  
Motohiko Furuichi ◽  
Tatsuhiko Nishii ◽  
Shinichiro Ishimoto ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Air Leakage
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