Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report.
10.5090/kjtcs.2016.49.3.185
- Author:
Won Gi WOO
1
;
Seok JOO
;
Geun Dong LEE
;
Seok Jin HAAM
;
Sungsoo LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine, Korea. CHESTLEE@yuhs.ac
- Publication Type:Original Article
- Keywords:
Pneumothorax;
Chest tubes;
Outpatients
- MeSH:
Ambulatory Care Facilities;
Chest Tubes*;
Emergency Service, Hospital;
Follow-Up Studies;
Humans;
Korea;
Outpatients*;
Ovum;
Pneumothorax*;
Thoracic Surgery, Video-Assisted;
Thorax*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(3):185-189
- CountryRepublic of Korea
- Language:English
-
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.
