Outcomes of mobilization in the first hour following uniportal video-assisted thoracoscopic surgery for primary spontaneous pneumothorax.

IF 0.6 Q4 SURGERY
Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-03-01 Epub Date: 2024-03-30 DOI:10.5114/kitp.2024.138497
Hatice Eryigit Unaldi
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引用次数: 0

Abstract

Introduction: Although primary spontaneous pneumothorax is a common disease in young adults, each thoracic surgery department performs different procedures for its management.

Aim: The optimal time of postoperative mobilization is not yet standardized in lung surgery.

Material and methods: This study included male patients with a primary spontaneous pneumothorax who underwent wedge resection of the upper lobe of the lungs via uniportal video-assisted thoracoscopic surgery. Patients were encouraged to stand up within the first postoperative hour. Mobilization was defined as standing and walking at least 100 m from the bed. If orthostatic hypotension occurred, mobilization was postponed for 30 min. Immediately after surgery, intravenous fluids were discontinued, and patients were instructed to drink water. The analgesic treatment needs, length of hospitalization, drainage, and discharge times were recorded.

Results: A total of 43 patients were operated on by the same surgeon. All operations were ended with uniportal video-assisted thoracoscopic surgery. Wedge resection is most commonly indicated for recurrent ipsilateral pneumothorax. Patients walked 345 (range: 150-510) m on the department corridor following bed rest. Paracetamol (2 g) and dexketoprofen (100 mg) were intravenously administered as postoperative analgesia to 76.7% of patients. Narcotic drugs were not needed.

Conclusions: Mobilization was recommended in the first hour following uniportal video-assisted thoracoscopic surgery for primary spontaneous pneumothorax.

单孔视频辅助胸腔镜手术治疗原发性自发性气胸后一小时内的移动效果。
导言:虽然原发性自发性气胸是青壮年的常见病,但每个胸外科科室对其处理的程序各不相同:虽然原发性自发性气胸是青壮年的常见病,但每个胸外科科室都会采取不同的治疗方法:本研究纳入了通过单入口视频辅助胸腔镜手术接受肺上叶楔形切除术的男性原发性自发性气胸患者。鼓励患者在术后一小时内站起来。移动是指从病床站立和行走至少 100 米。如果出现直立性低血压,则应推迟 30 分钟活动。术后立即停止静脉输液,并指导患者喝水。记录镇痛治疗需求、住院时间、引流和出院时间:结果:共有 43 名患者由同一外科医生进行了手术。所有手术均以单孔视频辅助胸腔镜手术结束。楔形切除术最常见于复发性同侧气胸。患者卧床休息后在科室走廊行走了345米(范围:150-510米)。76.7%的患者在术后使用扑热息痛(2克)和右酮洛芬(100毫克)镇痛。结论:结论:建议在单孔视频辅助胸腔镜手术治疗原发性自发性气胸后的第一个小时内进行活动。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Polish Journal of Thoracic and Cardiovascular Surgery is a quarterly aimed at cardiologists, cardiosurgeons and thoracic surgeons. Includes the original works (experimental, research and development), illustrative and casuistical works about cardiology and cardiosurgery.
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