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KMID : 0364020160490030185
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Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 3 p.185 ~ p.189
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Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube
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Woo Won-Gi
Joo Seok
Lee Geun-Dong
Haam Seok-Jin
Lee Sung-Soo
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Abstract
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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.
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KEYWORD
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Pneumothorax, Chest tubes, Outpatients
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