F. Pons (Professeur agrégé du Val de Grâce) , J.-P. Arigon (Chirurgien des hôpitaux des Armées) , O. Chapuis (Chirurgien des hôpitaux des Armées) , C. Renaud (Chef de clinique) , R. Jancovici (Professeur) , M. Dahan (Professeur des Universités)
{"title":"自发性气胸的手术治疗","authors":"F. Pons (Professeur agrégé du Val de Grâce) , J.-P. Arigon (Chirurgien des hôpitaux des Armées) , O. Chapuis (Chirurgien des hôpitaux des Armées) , C. Renaud (Chef de clinique) , R. Jancovici (Professeur) , M. Dahan (Professeur des Universités)","doi":"10.1016/j.emcchi.2005.05.002","DOIUrl":null,"url":null,"abstract":"<div><p>Spontaneous pneumothorax may be primary (occurring in healthy subjects) or secondary (occurring in individuals with pulmonary disease). The risk of recurrence is about 30%. Surgery is indicated in case of persistence despite drainage or incomplete lung reexpansion, first recurrence, or bilateral pneumothorax. Surgical management consists in resection of bullous area and pleurodesis. The techniques used for pleurodesis are the chemical pleurodesis, the mechanical abrasion or the parietal pleurectomy. The surgical treatment may be realized either by thoracotomy or by video-assisted thoracic surgery which is the preferential technique in case of a patient with primary spontaneous pneumothorax.</p></div>","PeriodicalId":100414,"journal":{"name":"EMC - Chirurgie","volume":"2 3","pages":"Pages 266-281"},"PeriodicalIF":0.0000,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.05.002","citationCount":"5","resultStr":"{\"title\":\"Traitement chirurgical du pneumothorax spontané\",\"authors\":\"F. Pons (Professeur agrégé du Val de Grâce) , J.-P. Arigon (Chirurgien des hôpitaux des Armées) , O. Chapuis (Chirurgien des hôpitaux des Armées) , C. Renaud (Chef de clinique) , R. Jancovici (Professeur) , M. Dahan (Professeur des Universités)\",\"doi\":\"10.1016/j.emcchi.2005.05.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Spontaneous pneumothorax may be primary (occurring in healthy subjects) or secondary (occurring in individuals with pulmonary disease). The risk of recurrence is about 30%. Surgery is indicated in case of persistence despite drainage or incomplete lung reexpansion, first recurrence, or bilateral pneumothorax. Surgical management consists in resection of bullous area and pleurodesis. The techniques used for pleurodesis are the chemical pleurodesis, the mechanical abrasion or the parietal pleurectomy. The surgical treatment may be realized either by thoracotomy or by video-assisted thoracic surgery which is the preferential technique in case of a patient with primary spontaneous pneumothorax.</p></div>\",\"PeriodicalId\":100414,\"journal\":{\"name\":\"EMC - Chirurgie\",\"volume\":\"2 3\",\"pages\":\"Pages 266-281\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2005-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.emcchi.2005.05.002\",\"citationCount\":\"5\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"EMC - Chirurgie\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1762570X05000162\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"EMC - Chirurgie","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1762570X05000162","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Spontaneous pneumothorax may be primary (occurring in healthy subjects) or secondary (occurring in individuals with pulmonary disease). The risk of recurrence is about 30%. Surgery is indicated in case of persistence despite drainage or incomplete lung reexpansion, first recurrence, or bilateral pneumothorax. Surgical management consists in resection of bullous area and pleurodesis. The techniques used for pleurodesis are the chemical pleurodesis, the mechanical abrasion or the parietal pleurectomy. The surgical treatment may be realized either by thoracotomy or by video-assisted thoracic surgery which is the preferential technique in case of a patient with primary spontaneous pneumothorax.
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