Pleurodesis: Which of which in management of recurrent primary spontaneous pneumothorax

Abstract

ObjectivePrimary spontaneous pneumothorax is a common health problem with predominance in males than in females and have high tendency for recurrence. While management of primary spontaneous pneumothorax is conservative issue varying from observation to ICT insertion, the recurrent cases are a surgical problem. Pleurodesis is an adjuvant to surgical resection of source of air leakage. Chemical or mechanical form of pleurodesis is still a matter of debate between surgeons. Patients and methodsPatients are divided into three groups, Group A, pleurodesis done by pleurectomy, Group B pleurodesis done by pleural abrasion and Group C, pleurodesis done by chemical insulation of minocycline into chest with complete lung expansion. All cases operated through 4th space, limited thoracotomy according to the affected side. ResultsData are recorded and analyzed. Pleurectomy group is superior to Groups B and C regarding recurrence and reported complications while no deference regarding the side of recurrence and demographic data and indication of surgery in the three groups. ConclusionPleurectomy pleurodesis is a safe and convenient procedure that can reduce the rate of ipsilateral recurrence after surgical treatment for primary spontaneous pneumothorax.