Pleural tenting in complicated primary spontaneous pneumothorax

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dc.contributor.authorEren, N
dc.contributor.authorBalci, AE
dc.contributor.authorEren, S
dc.date.accessioned2024-04-24T17:37:46Z
dc.date.available2024-04-24T17:37:46Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim To assess the efficacy of pleural tenting in patients with complicated primary spontaneous pneumothorax (PSP) Methods. From 1988 through 2001, 43 patients underwent operations. Mean age was 30.4 years; the male/female ratio was 9.7. Twenty-one (48.8%) underwent pleural tenting in addition to bulla excision (experimental group, EG). Twenty-two (51.2%) underwent bulla excision plus pleural abrasion (11 patients), apical. partial pleurectomy (9 patients) and complete apical pleurectomy (2 patients) (control group, CG). The most frequent symptom was chest pain (37.2%). Surgical indications were recurrence in 21 (48.8%), prolonged air leak in 12 (27.9%), failure of expansion without air leak in 6 (13.9%), high risk occupancy in 2 (4.6%) and empyema due to air leak in 2 (4.6%). Results. Air leak time was decreased by tenting (1.9 days vs 3.7 days) as well as time of drainage (4.8 vs 6.9) and hospital stay (5.8 vs 7.9). Morbidity was 9.5% in EG and 9.1% in CG. Causes of morbidity were postoperative hematoma, prolonged air leak, expansion failure and blunt posterior sinus one of each. Re-operation needed for postoperative hematoma in CG. Mean follow-up was 5.1 years and 1 (4.5%) recurrence observed in CG. Conclusion. Tenting of the dependent lung from the apical pleura after bullectomy via axillary thoracotomy lessens air leak time without recurrence and low morbidity.en_US
dc.identifier.endpage75en_US
dc.identifier.issn0021-9509
dc.identifier.issn1827-191X
dc.identifier.issue1en_US
dc.identifier.pmid15041942
dc.identifier.scopus2-s2.0-1942454776
dc.identifier.scopusqualityQ2
dc.identifier.startpage71en_US
dc.identifier.urihttps://hdl.handle.net/11468/21175
dc.identifier.volume45en_US
dc.identifier.wosWOS:000221054300014
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherEdizioni Minerva Medicaen_US
dc.relation.ispartofJournal of Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPleural Tenten_US
dc.subjectPneumothorax, Surgeryen_US
dc.subjectThoracic Surgeryen_US
dc.subjectPleuraen_US
dc.titlePleural tenting in complicated primary spontaneous pneumothoraxen_US
dc.titlePleural tenting in complicated primary spontaneous pneumothorax
dc.typeArticleen_US

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