Skip to main content
SpringerLink
Log in
SpringerLink
Log in

Pleural Sclerosis for the Management of Initial Pneumothorax

  • Chapter
Difficult Decisions in Thoracic Surgery

  • 1010 Accesses

Abstract

A pneumothorax occurs when there is air in the pleural space. Pneumothoraces are classified as spontaneous, which occur without preceding trauma or other obvious cause, or traumatic, which occur as a result of trauma to the chest. Spontaneous pneumothoraces are subclassified as primary or secondary. A primary spontaneous pneumothorax occurs in an otherwise healthy person without underlying lung disease. A secondary spontaneous pneumothorax complicates an underlying lung disease, most commonly chronic obstructive pulmonary disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Sadikot RT, Greene T, Meadows K, et al. Recurrence of primary spontaneous pneumothorax. Thorax 1997;52:805–809.

    PubMed  CAS  Google Scholar 

  2. Smit HJ, Wienk MA, Schreurs AJ, et al. Do bullae indicate a predisposition to recurrent pneumothorax? Br J Radiol 2000;73:356–359.

    PubMed  CAS  Google Scholar 

  3. Janssen JP, Schramel FM, Sutedja TG, et al. Videothoracoscopic appearance of first and recurrent pneumothorax. Chest 1995;108:330–334.

    PubMed  CAS  Google Scholar 

  4. Gobbel WGJ, Rhea WGJ, Nelson IA, et al. Spontaneous pneumothorax. J Thorac Cardiovasc Surg 1963;46:331–345.

    Google Scholar 

  5. Guo Y, Xie C, Rodriguez RM, et al. Factors related to recurrence of spontaneous pneumothorax. Respirology 2005;10:379–384.

    Article  Google Scholar 

  6. Light RW, O’Hara VS, Moritz TE, et al. Intrapleural tetracycline for the prevention of recurrent spontaneous pneumothorax. Results of a Department of Veterans Affairs cooperative study. JAMA 1990;264:2224–2230.

    Article  PubMed  CAS  Google Scholar 

  7. Lippert HL, Lund O, Blegvad S, et al. Independent risk factors for cumulative recurrence rate after first spontaneous pneumothorax. Eur Respir J 1991;4:324–331.

    PubMed  CAS  Google Scholar 

  8. Almind M, Lange P, Viskum K. Spontaneous pneumothorax: comparison of simple drainage, talc pleurodesis, and tetracycline pleurodesis. Thorax 1989;44:627–630.

    Article  PubMed  CAS  Google Scholar 

  9. Alfageme I, Moreno L, Huetas C, et al. Spontaneous pneumothorax. Long-term results with tetracycline pleurodesis. Chest 1994;106:347–350.

    PubMed  CAS  Google Scholar 

  10. Tschopp JM, Brutsche M, Frey JG. Treatment of complicated spontaneous pneumothorax by simple talc pleurodesis under thoracoscopy and local anaesthesia. Thorax 1997;52:329–332.

    Article  PubMed  CAS  Google Scholar 

  11. Tschopp JM, Boutin C, Astoul P, et al. Talcage by medical thoracoscopy for primary spontaneous pneumothorax is more cost-effective than drainage: a randomised study. Eur Respir J 2002;20:1003–1009.

    Article  PubMed  CAS  Google Scholar 

  12. Yim AP, Liu HP. Video assisted thoracoscopic management of primary spontaneous pneumothorax. Surg Laparosc Endosc 1997;7:236–240.

    Article  PubMed  CAS  Google Scholar 

  13. Cardillo G, Facciolo F, Giunti R, et al. Videothoracoscopic treatment of primary spontaneous pneumothorax: a 6-year experience. Ann Thorac Surg 2000;69:357–361.

    Article  PubMed  CAS  Google Scholar 

  14. Waller DA. Video-assisted thoracoscopic surgery for spontaneous pneumothorax — a 7-year learning experience. Ann R Coll Surg Engl 1999;81:387–392.

    PubMed  CAS  Google Scholar 

  15. Margolis M, Gharagozloo F, Tempesta B, et al. Video-assisted thoracic surgical treatment of initial spontaneous pneumothorax in young patients. Ann Thorac Surg 2003;76:1661–1663.

    Article  PubMed  Google Scholar 

  16. Lee P, Yap WS, Pek WY, et al. An audit of medical thoracoscopy and talc poudrage for pneumothorax prevention in advanced COPD. Chest 2004;125:1315–1320.

    Article  PubMed  Google Scholar 

  17. Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: An American College of Chest Physicians Delphi Consensus Statement. Chest 2001;119:590–602.

    Article  PubMed  CAS  Google Scholar 

  18. Henry M, Arnold T, Harvey J. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003;58(suppl 2):II39–II52.

    PubMed  Google Scholar 

  19. Light RW. Talc should not be used for pleurodesis. Am J Respir Crit Care Med 2000;162:2023–2026.

    Google Scholar 

  20. Dresler CM, Olak J, Herndon JE 2nd, et al. Phase III intergroup study of talc poudrage vs talc slurry sclerosis for malignant pleural effusion. Chest 2005;127:909–915.

    Article  PubMed  Google Scholar 

  21. Bilaceroglu S, Guo Y, Hawthorne ML, et al. Oral forms of tetracycline and doxycycline are effective in producing pleurodesis. Chest 2005;128:3750–3756.

    Article  PubMed  CAS  Google Scholar 

  22. Yim AP. Video-assisted thoracoscopic suturing of apical bullae. An alternative to staple resection in the management of primary spontaneous pneumothorax. Surg Endosc 1995;9:1013–1016.

    PubMed  CAS  Google Scholar 

  23. Lee YCG, Teixeira LR, Devin CJ, et al. Transforming growth factor-beta(2) induces pleurodesis significantly faster than talc. Am J Respir Crit Care Med 2001;163:640–644.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA

    Richard W. Light MD

Authors
  1. Richard W. Light MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Mark K. Ferguson MD (Professor and Head) (Professor and Head)

  2. Thoracic Surgery Service, The University of Chicago Hospitals, Chicago, IL, USA

    Mark K. Ferguson MD (Professor and Head) (Professor and Head)

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag London Limited

About this chapter

Cite this chapter

Light, R.W. (2007). Pleural Sclerosis for the Management of Initial Pneumothorax. In: Ferguson, M.K. (eds) Difficult Decisions in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-474-8_22

Download citation

  • DOI: https://doi.org/10.1007/978-1-84628-474-8_22

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-384-0

  • Online ISBN: 978-1-84628-474-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation