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Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report

 Won Gi Woo  ;  Seok Joo  ;  Geun Dong Lee  ;  Seok Jin Haam  ;  Sungsoo Lee 
 Korean Journal of Thoracic and Cardiovascular Surgery, Vol.49(3) : 185-189, 2016 
Journal Title
Korean Journal of Thoracic and Cardiovascular Surgery
Issue Date
Chest tubes ; Outpatients ; Pneumothorax
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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1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Woo, Won Ki(우원기)
Lee, Geun Dong(이근동)
Lee, Sung Soo(이성수) ORCID logo https://orcid.org/0000-0001-8998-9510
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