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. 1994 Sep;49(9):922–923. doi: 10.1136/thx.49.9.922

Pleural abrasion via axillary thoracotomy in the era of video assisted thoracic surgery.

D A Simansky 1, A Yellin 1
PMCID: PMC475197  PMID: 7940436

Abstract

BACKGROUND--Recurrent episodes of spontaneous pneumothorax can be managed medically or surgically by various methods, video assisted thoracoscopy being the latest and most attractive. METHODS--A retrospective analysis was made of 43 pleural abrasions performed in 39 patients through a 4-6 cm axillary thoracotomy incision. RESULTS--There were no deaths and complications were few. At a mean follow up of 33 months there were two recurrences, neither of which required drainage. CONCLUSIONS--Compared with results achieved with video assisted thoracoscopic surgery, open pleural abrasion via a small thoracotomy may be the treatment of choice in most hospitals.

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Selected References

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  1. Clagett O. T. The management of spontaneous pneumothorax. J Thorac Cardiovasc Surg. 1968 May;55(5):761–762. [PubMed] [Google Scholar]
  2. Deslauriers J., Beaulieu M., Després J. P., Lemieux M., Leblanc J., Desmeules M. Transaxillary pleurectomy for treatment of spontaneous pneumothorax. Ann Thorac Surg. 1980 Dec;30(6):569–574. doi: 10.1016/s0003-4975(10)61733-x. [DOI] [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. LoCicero J., 3rd, Hartz R. S., Frederiksen J. W., Michaelis L. L. New applications of the laser in pulmonary surgery: hemostasis and sealing of air leaks. Ann Thorac Surg. 1985 Dec;40(6):546–550. doi: 10.1016/s0003-4975(10)60346-3. [DOI] [PubMed] [Google Scholar]
  5. Maggi G., Ardissone F., Oliaro A., Ruffini E., Cianci R. Pleural abrasion in the treatment of recurrent or persistent spontaneous pneumothorax. Results of 94 consecutive cases. Int Surg. 1992 Apr-Jun;77(2):99–101. [PubMed] [Google Scholar]
  6. Melvin W. S., Krasna M. J., McLaughlin J. S. Thoracoscopic management of spontaneous pneumothorax. Chest. 1992 Dec;102(6):1877–1879. doi: 10.1378/chest.102.6.1877. [DOI] [PubMed] [Google Scholar]
  7. Murray K. D., Matheny R. G., Howanitz E. P., Myerowitz P. D. A limited axillary thoracotomy as primary treatment for recurrent spontaneous pneumothorax. Chest. 1993 Jan;103(1):137–142. doi: 10.1378/chest.103.1.137. [DOI] [PubMed] [Google Scholar]
  8. Parry G. W., Juniper M. E., Dussek J. E. Surgical intervention in spontaneous pneumothorax. Respir Med. 1992 Jan;86(1):1–2. doi: 10.1016/s0954-6111(06)80139-3. [DOI] [PubMed] [Google Scholar]
  9. Torre M., Belloni P. Nd:YAG laser pleurodesis through thoracoscopy: new curative therapy in spontaneous pneumothorax. Ann Thorac Surg. 1989 Jun;47(6):887–889. doi: 10.1016/0003-4975(89)90028-3. [DOI] [PubMed] [Google Scholar]
  10. Wakabayashi A., Brenner M., Wilson A. F., Tadir Y., Berns M. Thoracoscopic treatment of spontaneous pneumothorax using carbon dioxide laser. Ann Thorac Surg. 1990 Nov;50(5):786–790. [PubMed] [Google Scholar]
  11. Wakabayashi A. Thoracoscopic ablation of blebs in the treatment of recurrent or persistent spontaneous pneumothorax. Ann Thorac Surg. 1989 Nov;48(5):651–653. doi: 10.1016/0003-4975(89)90782-0. [DOI] [PubMed] [Google Scholar]
  12. Walker-Renard P. B., Vaughan L. M., Sahn S. A. Chemical pleurodesis for malignant pleural effusions. Ann Intern Med. 1994 Jan 1;120(1):56–64. doi: 10.7326/0003-4819-120-1-199401010-00010. [DOI] [PubMed] [Google Scholar]
  13. Weeden D., Smith G. H. Surgical experience in the management of spontaneous pneumothorax, 1972-82. Thorax. 1983 Oct;38(10):737–743. doi: 10.1136/thx.38.10.737. [DOI] [PMC free article] [PubMed] [Google Scholar]

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