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http://dx.doi.org/10.5090/kjtcs.2016.49.3.185

Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report  

Woo, Won Gi (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine)
Joo, Seok (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine)
Lee, Geun Dong (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine)
Haam, Seok Jin (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine)
Lee, Sungsoo (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine)
Publication Information
Journal of Chest Surgery / v.49, no.3, 2016 , pp. 185-189 More about this Journal
Abstract
Background: For treatment of pneumothorax in Korea, many institutions hospitalize the patient after chest tube insertion. In this study, a portable small-bore chest tube (Thoracic Egg; Sumitomo Bakelite Co. Ltd., Tokyo, Japan) was used for pneumothorax management in an outpatient clinic. Methods: Between August 2014 and March 2015, 56 pneumothorax patients were treated using the Thoracic Egg. Results: After Thoracic Egg insertion, 44 patients (78.6%) were discharged from the emergency room for follow-up in the outpatient clinic, and 12 patients (21.4%) were hospitalized. The mean duration of Thoracic Egg chest tube placement was 4.8 days, and the success rate was 73%; 20% of patients showed incomplete expansion and underwent video-assisted thoracoscopic surgery. For primary spontaneous pneumothorax patients, the success rate of the Thoracic Egg was 76.6% and for iatrogenic pneumothorax, it was 100%. There were 2 complications using the Thoracic Egg. Conclusion: Outpatient treatment of pneumothorax using the Thoracic Egg could be a good treatment option for primary spontaneous and iatrogenic pneumothorax.
Keywords
Pneumothorax; Chest tubes; Outpatients;
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Times Cited By KSCI : 1  (Citation Analysis)
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