Is there a high recurrence rate after pneumothorax thoracoscopic surgery

Because the pneumothorax is treated with thoracoscopic bullae wedge resection plus pleurodesis, the postoperative adhesion of the parietal pleura and the visceral pleura will occur, and even if there is bullae rupture and air leakage after adhesion, it is only a local pneumothorax, which does not need special treatment and can be absorbed by itself, so the recurrence rate after thoracoscopy is generally less than 5%, which is a small probability event.

Pneumothorax generally does not recur after thoracoscopy, because pleuredesis is added after thoracoscopic bullous wedge resection, and the purpose of pleurodesis is to allow the adhesion of the parietal pleura and visceral pleura after thoracoscopy, and even if there is a rupture of the bullae after adhesion, only a small amount of localized pneumothorax will be formed around the ruptured bullae, and no other treatment is required.

After thoracoscopic surgery, there is still a possibility of recurrence, but it is nearly five times less, if it is not, chest X-ray review is also very important, including the recurrence of the non-surgical side, if there is also a pneumothorax on the opposite side, it is also recommended that the patient undergo thoracoscopic surgical treatment, that is to say, the patient may have recurrence after thoracoscopic surgery, so the patient should do a good job of daily nursing work to ensure that the patient does not recur after the operation.

What are the clinical manifestations of tension pneumothorax

In the case of tension pneumothorax, patients often have extreme difficulty breathing, irritability, panic or confusion, obvious cyanosis, sweating, weak pulse, rapid heart rate, decreased blood pressure, obvious displacement of trachea and cardiac dullness to the healthy side, full chest cage on the injured side, widening of the intercostal space, weak respiratory movements, percussion tympanum, and disappearance of breath sounds on auscultation. In tension pneumothorax, the intrapleural pressure rises suddenly, the lungs are compressed and the mediastinum is ectopid, and the patient can have severe respiratory and circulatory disorders, manifested as extreme dyspnea, nervous expression, chest tightness, irritability, cyanosis of the lips, cold sweat, collapse, arrhythmia, and even coma and suffocation, respiratory failure, etc.Tension pneumothorax is mostly caused by an open wound, the rupture of the chest wall appears a one-way valvular effect, the chest expands and the pressure in the pleural cavity becomes smaller, the air enters the pleural cavity, and the flap is pressed to close when exhaling, resulting in more and more gas in the pleural cavity.

Can a pneumothorax be cured?

There are three types of pneumothorax treatment, the first is that when the lung compression is less than 30%, we usually choose a dynamic observation, that is, conservative treatment. The goal of treatment for pneumothorax is to promote recruitment of the affected side, eliminate the cause, and reduce recurrence. Thoracostomy is indicated for patients with pneumothorax who have severe lung compression and require urgent deflating, and can only relieve symptoms and is not curative;