caa a22 4500 475778634 CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s004649900016 doi (NATIONALLICENCE)springer-10.1007/s004649900016 Four-year experience with pleural abrasion using a rotating brush during video-assisted thoracoscopy [Elektronische Daten] [A. Maier, U. Anegg, H. Renner, F. Tomaselli, B. Fell, R. Lunzer, O. Sankin, H. Pinter, G. Friehs, F. Smolle-Jüttner] Background: Due to the high recurrence rate in primary spontaneous pneumothorax (PSP), surgical therapy is currently a well-accepted method of treating this condition. There is no general agreement about the best time for surgical intervention (i.e., after the first or second episode) or the optimal surgical approach,—i.e., tube thoracocenteses, thoracotomy, or video-assisted thoracoscopy (VATS) with or without pleurectomy or pleurodesis. The aim of this study was to verify the efficacy of VATS and mechanical brush pleurodesis using a rotating electrical brush system. Methods: We treated 47 patients with PSP between June 1993 and June 1997. Follow-up ranged from 20 to 56 months. There were 38 male and nine female patients with a mean age of 26 years. Emergency thoracocenteses due to tension pneumothorax became necessary in three patients. All patients were treated by VATS and mechanical brush pleurodesis. Wedge resection was done if bullae or blebs were present (68.1%). Results: Operating time was 20-60 min (mean, 35). There were no intraoperative complications and no conversions to conventional surgery. In the first few postoperative days, postoperative pain was controlled with nonsteroidal antirheumatic drugs and additional morphines. Drainage time was 3-7 days (mean, 4). Hospitalization time was 4-8 days (mean, 5). The recurrence rate was 2.1% (one patient). No postoperative bleeding or wound infection occurred in any of our patients. Conclusions: VATS combined with mechanical brush pleurodesis using the electrical brush system is a highly effective and safe treatment for patients with recurrent primary spontaneous pneumothorax. Springer-Verlag, 2000 Primary spontaneous pneumothorax nationallicence Video-assisted thoracoscopy nationallicence Pleural abrasion nationallicence Pleurodesis nationallicence Lung nationallicence Maier A. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Anegg U. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Renner H. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Tomaselli F. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Fell B. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Lunzer R. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Sankin O. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Pinter H. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Friehs G. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Smolle-Jüttner F. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 75-78 0930-2794 14:1<75 2000 14 464 https://doi.org/10.1007/s004649900016 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900016 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Maier A. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 700 1- Anegg U. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 700 1- Renner H. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 700 1- Tomaselli F. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 700 1- Fell B. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 700 1- Lunzer R. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 700 1- Sankin O. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 700 1- Pinter H. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 700 1- Friehs G. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 700 1- Smolle-Jüttner F. Department of Thoracic and Hyperbaric Surgery, University Medical School, Auenbruggerplatz 28, A-8036, Graz, Austria aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 75-78 0930-2794 14:1<75 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer