Management of primary spontaneous pneumothorax: A single-center experience
Background: The prevalence of primary spontaneous pneumothorax is high in the Arab region. There is a lack of studies from the Eastern Province of Saudi Arabia highlighting the associated risk factors and demonstrating the effectiveness of surgical management. Objectives: To identify risk factors as...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Saudi Journal of Medicine and Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sjmms.net/article.asp?issn=1658-631X;year=2018;volume=6;issue=2;spage=100;epage=103;aulast=Aljehani |
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| author | Yasser Mahir Aljehani Feras Mohammed Almajid Rabia C Niaz Yasser Farag Elghoneimy |
| author_facet | Yasser Mahir Aljehani Feras Mohammed Almajid Rabia C Niaz Yasser Farag Elghoneimy |
| author_sort | Yasser Mahir Aljehani |
| collection | DOAJ |
| description | Background: The prevalence of primary spontaneous pneumothorax is high in the Arab region. There is a lack of studies from the Eastern Province of Saudi Arabia highlighting the associated risk factors and demonstrating the effectiveness of surgical management.
Objectives: To identify risk factors associated with primary spontaneous pneumothorax and to correlate the effectiveness of surgical management with the rate of disease recurrence.
Subjects and Methods: This retrospective chart review included adult patients who presented with primary spontaneous pneumothorax and were managed at King Fahd Hospital of the University, Al-Khobar, Saudi Arabia, from January 1, 2005, to December 31, 2014. The results are presented as arithmetic mean for quantitative data, and chi-square test was used for statistical analysis. P ≤0.05 was considered statistically significant.
Results: In total, 151 patients with primary spontaneous pneumothorax were included, with the majority being male (98.7%) and Saudis (88.7%). The mean age was 24 ± 6 years (range: 13–49 years), mean height 171 ± 8 cm (range: 144–193 cm) and mean body mass index 19.2 ± 3.8 kg/m2 (range: 13.3–39.0 kg/m2). About 62% of the patients were smokers. Ten patients had an ipsilateral recurrence of primary spontaneous pneumothorax after the first episode was successfully managed. Surgical exploration after the first episode itself was found to significantly reduce the recurrence rate. The study found that in the management of these patients, there was a shift from conventional open thoracotomy to the minimally invasive video-assisted thoracoscopic surgery method.
Conclusions: The risk factors for primary spontaneous pneumothorax in this study were consistent with the current literature. Surgical exploration after the first episode of primary spontaneous pneumothorax significantly reduces the recurrence rate and there is a paradigm shift toward a less invasive surgical approach in managing these patients. |
| first_indexed | 2024-04-14T08:21:37Z |
| format | Article |
| id | doaj.art-f98df32a554e4cf4b60060578ca558a5 |
| institution | Directory Open Access Journal |
| issn | 1658-631X |
| language | English |
| last_indexed | 2024-04-14T08:21:37Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Medicine and Medical Sciences |
| spelling | doaj.art-f98df32a554e4cf4b60060578ca558a52022-12-22T02:04:11ZengWolters Kluwer Medknow PublicationsSaudi Journal of Medicine and Medical Sciences1658-631X2018-01-016210010310.4103/sjmms.sjmms_163_16Management of primary spontaneous pneumothorax: A single-center experienceYasser Mahir AljehaniFeras Mohammed AlmajidRabia C NiazYasser Farag ElghoneimyBackground: The prevalence of primary spontaneous pneumothorax is high in the Arab region. There is a lack of studies from the Eastern Province of Saudi Arabia highlighting the associated risk factors and demonstrating the effectiveness of surgical management. Objectives: To identify risk factors associated with primary spontaneous pneumothorax and to correlate the effectiveness of surgical management with the rate of disease recurrence. Subjects and Methods: This retrospective chart review included adult patients who presented with primary spontaneous pneumothorax and were managed at King Fahd Hospital of the University, Al-Khobar, Saudi Arabia, from January 1, 2005, to December 31, 2014. The results are presented as arithmetic mean for quantitative data, and chi-square test was used for statistical analysis. P ≤0.05 was considered statistically significant. Results: In total, 151 patients with primary spontaneous pneumothorax were included, with the majority being male (98.7%) and Saudis (88.7%). The mean age was 24 ± 6 years (range: 13–49 years), mean height 171 ± 8 cm (range: 144–193 cm) and mean body mass index 19.2 ± 3.8 kg/m2 (range: 13.3–39.0 kg/m2). About 62% of the patients were smokers. Ten patients had an ipsilateral recurrence of primary spontaneous pneumothorax after the first episode was successfully managed. Surgical exploration after the first episode itself was found to significantly reduce the recurrence rate. The study found that in the management of these patients, there was a shift from conventional open thoracotomy to the minimally invasive video-assisted thoracoscopic surgery method. Conclusions: The risk factors for primary spontaneous pneumothorax in this study were consistent with the current literature. Surgical exploration after the first episode of primary spontaneous pneumothorax significantly reduces the recurrence rate and there is a paradigm shift toward a less invasive surgical approach in managing these patients.http://www.sjmms.net/article.asp?issn=1658-631X;year=2018;volume=6;issue=2;spage=100;epage=103;aulast=AljehaniPrimary spontaneous pneumothoraxrecurrencerisk factorsvideo-assisted thoracoscopic surgery |
| spellingShingle | Yasser Mahir Aljehani Feras Mohammed Almajid Rabia C Niaz Yasser Farag Elghoneimy Management of primary spontaneous pneumothorax: A single-center experience Saudi Journal of Medicine and Medical Sciences Primary spontaneous pneumothorax recurrence risk factors video-assisted thoracoscopic surgery |
| title | Management of primary spontaneous pneumothorax: A single-center experience |
| title_full | Management of primary spontaneous pneumothorax: A single-center experience |
| title_fullStr | Management of primary spontaneous pneumothorax: A single-center experience |
| title_full_unstemmed | Management of primary spontaneous pneumothorax: A single-center experience |
| title_short | Management of primary spontaneous pneumothorax: A single-center experience |
| title_sort | management of primary spontaneous pneumothorax a single center experience |
| topic | Primary spontaneous pneumothorax recurrence risk factors video-assisted thoracoscopic surgery |
| url | http://www.sjmms.net/article.asp?issn=1658-631X;year=2018;volume=6;issue=2;spage=100;epage=103;aulast=Aljehani |
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