title: [Treatment of the first episode of spontaneous pneumothorax].
abstract: BACKGROUND
  The management of a first episode of spontaneous pneumothorax is controversial and the best technique to be used as an initial intervention, aspiration or intercostal drainage, is still debated.
  
  
  METHODS
  We present a retrospective case series during two and a half consecutive years describing the immediate management of spontaneous pneumothoraces, comparing aspiration versus thoracic drainage.
  
  
  RESULTS
  One hundred and thirty-three clinical files from patients with spontaneous pneumothoraces were analyzed (17 primary and 116 secondary). The pneumothoraces were of varying size and different etiologies. Patients were initially treated with simple aspiration in 68 cases, with an immediate success rate of 37.5%, intercostal drainage in 49 cases, and by rest alone in 16 cases.
  
  
  CONCLUSIONS
  In case of secondary pneumothorax, aspiration appeared to offer advantages as an initial strategy over intercostal drainage in terms of hospital stay (11 versus 22 days), and with significant effectiveness (37.5%).
authors.affiliation: Service des maladies respiratoires, CHU Ibn Rochd, Casablanca, Maroc. Electronic address: moubachirhouda@gmail.com.
authors.forename: H
authors.initials: H
authors.lastname: Moubachir
authors.affiliation: Service des maladies respiratoires, CHU Ibn Rochd, Casablanca, Maroc.
authors.forename: N
authors.initials: N
authors.lastname: Zaghba
authors.affiliation: Service des maladies respiratoires, CHU Ibn Rochd, Casablanca, Maroc.
authors.forename: H
authors.initials: H
authors.lastname: Benjelloun
authors.affiliation: Service des maladies respiratoires, CHU Ibn Rochd, Casablanca, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Bakhatar
authors.affiliation: Service des maladies respiratoires, CHU Ibn Rochd, Casablanca, Maroc.
authors.forename: N
authors.initials: N
authors.lastname: Yassine
mesh_terms: D000328:Adult; D015505:Chest Tubes / Q000706:statistics & numerical data; D004322:Drainage / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D011030:Pneumothorax / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology / Q000628:therapy*; D012008:Recurrence; D012189:Retrospective Studies; D000069258:Thoracentesis / Q000706:statistics & numerical data
keywords: Drainage pleural; Exsufflation; Pleural drainage; Pneumothorax