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Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax

INTRODUCTION: Primary spontaneous hemopneumothorax (PSHP) is an accumulation of blood and air in the pleural space without trauma or obvious etiology. It is a rare surgical emergency and may lead to hypovolemic shock if not treated. Early and fast recognition will improve patient outcomes. PRESENTAT...

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Autores principales: Aljehani, Yasser M., Almusairii, Jawaher A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351394/
https://www.ncbi.nlm.nih.gov/pubmed/30685628
http://dx.doi.org/10.1016/j.ijscr.2019.01.007
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author Aljehani, Yasser M.
Almusairii, Jawaher A.
author_facet Aljehani, Yasser M.
Almusairii, Jawaher A.
author_sort Aljehani, Yasser M.
collection PubMed
description INTRODUCTION: Primary spontaneous hemopneumothorax (PSHP) is an accumulation of blood and air in the pleural space without trauma or obvious etiology. It is a rare surgical emergency and may lead to hypovolemic shock if not treated. Early and fast recognition will improve patient outcomes. PRESENTATION OF THE CASE: We present a case of PSHP in a young male utilizing the uniportal video-assisted thoracoscopic surgery (VATS) through the same incisional site of the thoracostomy tube. The patient made an uneventful recovery. DISCUSSION: VATS has become the first line and the gold standard surgical management of most thoracic surgeries. In case of PSHP, some thoracic surgeons still skeptical about the minimal invasive approach in such emergency. Applying the concept of uniportal technique, which can be used for diagnostic as well as major therapeutic purposes. There is vast literature that support the notion that it reduces postoperative pain and paresthesia and lead to fast patient recovery. CONCLUSION: As demonstrated in our case, uniportal VATS is safe and effective in the management of PSHP.
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spelling pubmed-63513942019-02-05 Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax Aljehani, Yasser M. Almusairii, Jawaher A. Int J Surg Case Rep Article INTRODUCTION: Primary spontaneous hemopneumothorax (PSHP) is an accumulation of blood and air in the pleural space without trauma or obvious etiology. It is a rare surgical emergency and may lead to hypovolemic shock if not treated. Early and fast recognition will improve patient outcomes. PRESENTATION OF THE CASE: We present a case of PSHP in a young male utilizing the uniportal video-assisted thoracoscopic surgery (VATS) through the same incisional site of the thoracostomy tube. The patient made an uneventful recovery. DISCUSSION: VATS has become the first line and the gold standard surgical management of most thoracic surgeries. In case of PSHP, some thoracic surgeons still skeptical about the minimal invasive approach in such emergency. Applying the concept of uniportal technique, which can be used for diagnostic as well as major therapeutic purposes. There is vast literature that support the notion that it reduces postoperative pain and paresthesia and lead to fast patient recovery. CONCLUSION: As demonstrated in our case, uniportal VATS is safe and effective in the management of PSHP. Elsevier 2019-01-19 /pmc/articles/PMC6351394/ /pubmed/30685628 http://dx.doi.org/10.1016/j.ijscr.2019.01.007 Text en © 2019 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Aljehani, Yasser M.
Almusairii, Jawaher A.
Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax
title Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax
title_full Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax
title_fullStr Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax
title_full_unstemmed Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax
title_short Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax
title_sort efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351394/
https://www.ncbi.nlm.nih.gov/pubmed/30685628
http://dx.doi.org/10.1016/j.ijscr.2019.01.007
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