[Results of surgical therapy of spontaneous pneumothorax].
Twenty-one percent of 758 patients (1.1.82-31.8.87) underwent operations for spontaneous pneumothoraces (SPP); 79% were successfully treated with thorax suction drainage. The clinical symptoms and signs did not correlate with BGA values or extent of SPP on x-ray. Thoracoscopy had a diagnostic sensitivity of 70%. Wedge resections (120), partly combined with pleurectomies (63) and pleurodesis (78), were the most frequent operations (death rate 1.6%, recurrence 0.6%). Due to the high rate of recurrence after a first relapse (75%; up to 8 relapses) we recommend surgery at the 1st relapse of SPP, and especially after a relapse. This policy reduces stays in hospital by 37%.
Branscheid
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Thoraxklinik Heidelberg-Rohrbach.
Trainer
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Bülzebruck
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Vogt-Moykopf
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D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000601:surgery; D008297:Male; D011013:Pneumonectomy; D011030:Pneumothorax / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D012008:Recurrence; D012189:Retrospective Studies; D013908:Thoracotomy
Ergebnisse chirurgischer Therapie beim Spontanpneumothorax.