Management of primary spontaneous pneumothorax: Our single-center, five-year experience.

Content Provider	Europe PMC
Author	Tülüce, Kerim Türüt, Hasan
Copyright Year	2022
Abstract	BackgroundIn this study, we aimed to analyze the effects of admission time to the hospital and different variables on the treatment efficiency and to evaluate the recurrence during the clinical management process in patients with the diagnosis of primary spontaneous pneumothorax.MethodsA total of 149 patients with primary spontaneous pneumothorax (131 males, 18 females; mean age: 24.8±6.8 years; range, 17 to 35 years) treated in our clinic between January 2015 and December 2019 were retrospectively analyzed. Time from symptom onset to hospital admission (admission time) was classified as three periods: <24 h, between 24 and 72 h, and >72 h. Data including admission time, demographic and clinical characteristics, smoking history, body mass index, the use of pleurectomy or pleural abrasion during surgery were collected from the charts of the patients.ResultsAdmission time had no statistically significant effect on the length of hospital stay, recurrence, and the need for surgery. Male sex, smoking history, and lower body mass index had no significant effect on the recurrence. Recurrence and length of hospital stay did not significantly differ between the patients in whom pleurectomy or pleural abrasion added to the procedure during the operation.ConclusionA longer interval between symptom onset and hospital admission and lower body mass index have no adverse effect on treatment outcomes and the recurrence in patients with primary spontaneous pneumothorax. Despite the fact that surgical treatment significantly decreases the recurrence rate, pleurectomy and pleural abrasion techniques have no significant difference on the clinical influence and recurrence of these patients.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8990153&blobtype=pdf
ISSN	13015680
Journal	Turkish Journal of Thoracic and Cardiovascular Surgery [Turk Gogus Kalp Damar Cerrahisi Derg]
Volume Number	30
DOI	10.5606/tgkdc.dergisi.2022.21242
PubMed Central reference number	PMC8990153
Issue Number	1
PubMed reference number	35444856
e-ISSN	21498156
Language	English
Publisher	Bayçınar Medical Publishing
Publisher Date	2022-01-28
Access Restriction	Open
Rights License	This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. Copyright © 2022, Turkish Society of Cardiovascular Surgery
Subject Keyword	Minimally invasive surgery recurrence pleural abrasion pneumothorax
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine