Primary Spontaneous Pneumothorax
Conditions
Keywords
pneumothorax, thoracoscopy, pleurodesis
Brief summary
For the definite treatment of primary spontaneous pneumothorax(PSP), thoracoscopic bleb obliteration with pleural adhesive procedure is generally accepted as a standard. But additional pleurodesis is potentially useless procedure on the parietal pleura for treating visceral pleural disese. Furthermore, pleural symphysis could deteriorates normal pleural physiology and cause chronic pain. According to our previous study, stapling resection of the bulla without pleurodesis gave comparable result in recurrence comparing with articles with additional pleurodesis. The purpose of this study is to evaluate surgical outcome of thoracoscopic surgery with or without pleural abrasion and to know whether adhesive procedure is essential in the management of PSP.
Interventions
PROCEDUREthoracoscopic surgery
stapled wedge resection of the lung mechanical pleural abrasion
Sponsors
Seoul National University Bundang Hospital
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* recurrent pneumothorax * bilateral pneumothorax * total collapse/tension pneumothorax * previous history of contralateral pneumothorax * visible bulla on simple X-ray * special occupation/situation * air leakage more than 2 days with drainage catheter for 1st attack patients
Exclusion criteria
* patient refusal and reoperation case
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| recurrence | follow up more than 1 year |
Secondary
| Measure | Time frame |
|---|---|
| complications | follow up more than 1 year |
Countries
South Korea
Outcome results
None listed