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. 1976 Dec;31(6):652–655. doi: 10.1136/thx.31.6.652

Refractory pneumothorax treated by parietal pleurolysis.

J L Hansen
PMCID: PMC470490  PMID: 1013935

Abstract

Pneumothorax, persisting in spite of efficient drainage, may in some cases be caused by discrepancy between lung volume and size of the pleural cavity. The logical treatment is reduction of the pleural cavity simultaneously with a traditional surgical procedure on the pulmonary tissue. An increasing number of refractory pneumothoraces--both spontaneous and istrogenic--is probably due to the fact that more people are living with and suffer the sequelae of pulmonary disease. During a 15-year survey a parietal pleurolysis, tailored to fit the size and shape of the lung, was performed in 10 patients as the main surgical procedure in 100 thoracotomies for 1130 cases of spontaneous and 62 cases of iatrogenic pneumothorax. The results were encouraging.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BELL J. W. Management of the postresection space in tuberculosis. III. Role of pre- and postresection thoracoplasty. J Thorac Surg. 1956 May;31(5):580–592. [PubMed] [Google Scholar]
  2. BREWER L. A., 3rd, BAI A. F., JONES W. M. The development of the pleural partition to prevent overexpansion of the lung following partial pulmonary resection; an experimental study with clinical application. J Thorac Surg. 1956 Feb;31(2):165-81; discussion, 181-2. [PubMed] [Google Scholar]
  3. GAENSLER E. A. Parietal pleurectomy for recurrent spontaneous pneumothorax. Surg Gynecol Obstet. 1956 Mar;102(3):293–308. [PubMed] [Google Scholar]
  4. HANSEN J. L. Parietal pleurolysis (the pleural tent) as a simultaneous space-reducing procedure in combination with pulmonary resection. Acta Chir Scand. 1957 May 25;112(6):485–488. [PubMed] [Google Scholar]
  5. Lichter I. Long-term follow-up of planned treatment of spontaneous pneumothorax. Thorax. 1974 Jan;29(1):32–37. doi: 10.1136/thx.29.1.32. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. MISCALL L., DUFFY R. W., NOLAN R. B., KLOPSTOCK R. The pleural tent as a simultaneous tailoring procedure in combination with pulmonary resection. Am Rev Tuberc. 1956 Jun;73(6):831–852. doi: 10.1164/artpd.1956.73.6.831. [DOI] [PubMed] [Google Scholar]
  7. Mitchell-Heggs P. F., Batten J. C. Pleurectomy for spontaneous pneumothorax in cystic fibrosis. Thorax. 1970 Mar;25(2):165–171. doi: 10.1136/thx.25.2.165. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Neugebauer M. K., Fosburg R. G., Trummer M. J. Routine antibiotic therapy following pleural space intubation. A reappraisal. J Thorac Cardiovasc Surg. 1971 Jun;61(6):882–884. [PubMed] [Google Scholar]
  9. Nohl-Oser H. C. Die Behandlung des komplizierten Spontanpneumothorax mittels axillärer Thorakotomie. Thoraxchir Vask Chir. 1974 Oct;22(5):450–452. doi: 10.1055/s-0028-1102809. [DOI] [PubMed] [Google Scholar]
  10. Steier M., Ching N., Roberts E. B., Nealon T. F., Jr Pneumothorax complicating continuous ventilatory support. J Thorac Cardiovasc Surg. 1974 Jan;67(1):17–23. [PubMed] [Google Scholar]
  11. WITHERS J. N., FISHBACK M. E., KIEHL P. V., HANNON J. L. SPONTANEOUS PNEUMOTHORAX. SUGGESTED ETIOLOGY AND COMPARISON OF TREATMENT METHODS. Am J Surg. 1964 Dec;108:772–776. doi: 10.1016/0002-9610(64)90030-3. [DOI] [PubMed] [Google Scholar]

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