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Ann Thorac Surg 1975;19:561-564
© 1975 The Society of Thoracic Surgeons


Articles

Management of Spontaneous Pneumothorax

Sibu P. Saha, M.D.*, Jack E. Arrants, M.D., Annamaria Kosa, M.D., William H. Lee, Jr., M.D.

Division of Thoracic and Cardiovascular Surgery, Medical University of South Carolina, Charleston, S.C

* Address reprint requests to Dr. Saha, Division of Thoracic and Cardiovascular Surgery, Medical University of South Carolina, 80 Barre St., Charleston, S.C. 29401

Recurrence is the most common complication of spontaneous pneumothorax. Open thoracotomy with resection or obliteration of blebs and parietal pleurectomy provides the best protection against recurrence. Twenty-seven consecutive patients underwent open thoracotomy for recurrent pneumothorax with no mortality and minimum morbidity and have remained free from recurrence. We believe that thoracotomy should be more widely used in the treatment of what is called spontaneous pneumothorax, since this treatment may remove the real cause of the disease.




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