What are the surgical options for treatment of in the treatment of chronic or persisting pneumothoraces?

Updated: Apr 28, 2020
  • Author: Brian J Daley, MD, MBA, FACS, FCCP, CNSC; Chief Editor: Mary C Mancini, MD, PhD, MMM  more...
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Answer

Whereas thoracotomy is the criterion standard, it is increasingly being replaced by VATS in the treatment of chronic or persisting pneumothoraces, for the aforementioned reasons. Recurrence rates with thoracotomy are as low as 4%. [70]

Talc is the preferred agent for pleurodesis. It can be administered by insufflation or as a slurry. Insufflation of talc and thoracotomy has a recurrence rate of 0-7%.


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