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293450

Video Assisted Thoracic Surgery (VATS) Experience in Management of Primary Spontaneous Pneumothorax: Early Results

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Last updated: 24 Dec 2024

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Abstract

Background:Pneumothorax without underlying lung disease is the definition of primary spontaneous pneumothorax (PSP). When an interventional technique is required for its treatment, Video Assisted Thoracic Surgery (VATS) is the procedure of choice. It is associated with a marked reduction in operation time, post-operative pain atelectasis, and shorter hospital stay with an accepted recurrence rate of around 3%. Objective: We aimed to evaluate cases with PSP who were treated by VATS at Cairo and Minoufia Universities Methods: This retrospective study was carried out on 19 successive cases with a mean age of 44 years old, both sex who underwent VATS procedure for PSP. Under general anesthesia & double lumen intubation, VATS was conducted. The same surgical team conducted apical pleurectomy or mechanical abrasion and bullectomy on 19 of the patients who had VATS. Results: Regarding the postoperative results, hospital stay ranged from 2-7 days with a mean (±SD) value of 27.05±6.75 years. No case needed ICU admission.   Regarding the postoperative complications, ICT removal ranged from 1-3days with a mean (±SD) value of 1.15 ± 0.27 days. Air leaks occurred in 2 (10.53%), Wound infection did not occur in any case. Conclusions: VATS is superior to open thoracotomy as regards cosmetics short operation timeless pain less atelectasis and shorter hospital stay  

DOI

10.21608/ejhm.2023.293450

Keywords

VATS, Primary Spontaneous Pneumothorax, PSP

Authors

First Name

Mohamed

Last Name

Elkhouly

MiddleName

Ibrahim

Affiliation

Cairo University cardiothoracic dept

Email

elkhoulymohamed98@gmail.com

City

Cairo

Orcid

-

First Name

Mohamed

Last Name

Hagagg

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

Volume

91

Article Issue

1

Related Issue

40609

Issue Date

2023-04-01

Receive Date

2023-04-02

Publish Date

2023-04-01

Page Start

3,797

Page End

3,801

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 91_Issue 1_Pages 3797-3801.pdf

PDF . 453.7kB

Link

https://ejhm.journals.ekb.eg/article_293450.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=293450

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5

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Video Assisted Thoracic Surgery (VATS) Experience in Management of Primary Spontaneous Pneumothorax: Early Results

Details

Type

Article

Created At

24 Dec 2024