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Ann Thorac Surg 1976;22:163-165
© 1976 The Society of Thoracic Surgeons


Articles

Outpatient Management of Intercostal Tube Drainage in Spontaneous Pneumothorax

C. Mercier, M.D.*, A. Pagé, M.D., A. Verdant, M.D., R. Cossette, M.D., L. Dontigny, M.D., L.C. Pelletier, M.D.

From the Department of Surgery, University of Montreal Faculty of Medicine, and the Division of Cardio-Vascular and Thoracic Surgery, Hôpital du Sacré-Cœur, Montreal, Que, Canada.

* Address reprint requests to Dr. Mercier, Hôpital du Sacré-Cœur, 5400 W Gouin Blvd, Montreal, Que, Canada H4J 1C5.

In a series of 226 patients with spontaneous pneumothorax, 167 (74%) were managed successfully on an outpatient basis by observation (20%) or by intercostal tube drainage and a flutter valve (54%). Only 59 patients (26%) were hospitalized, and 42 of these were treated surgically (18.6%). Outpatient management with a flutter valve has proved to be safe, efficient, and economical.




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