Publication: Management of Different Types of Pneumothorax at Dhulikhel Hospital, Kathmandu University Hospital
Date
2020
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Pneumothorax is defined as the presence of air in the pleural cavity. Pneumothorax
can be classified as Spontaneous and Traumatic according to the etiology.
Spontaneous pneumothorax is further classified as Primary and Secondary.
Objective
This study was conducted to know the management of different types of
pneumothorax at Dhulikhel Hospital, Kathmandu University Hospital.
Method
This was a hospital based retrospective study conducted at Dhulikhel Hospital,
Kathmandu University Hospital. Patients admitted in Surgery Ward with diagnosis
of Pneumothorax from January 2018 to December 2019 were included in this study.
Result
This study included 144 patients with pneumothorax age ranging from 14 years to
94 years. Most of the patients were male with male:female ratio of 3.8:1. Eighty-four
(58.03%) patients had Traumatic pneumothorax followed by Secondary spontaneous
pneumothorax in 53(36.08%) patients and Primary spontaneous pneumothorax in
seven (4.86%) patients. Among 144 patients, chest tube drain was required in 135
patients and nine patients were managed conservatively. One patient underwent
Video Assisted Thoracoscopic Surgery (VATS) with Bullectomy and mechanical
pleurodesis. Sixteen patients had persistent pneumothorax, among which six patients
required chemical pleurodesis, two patients required negative suction therapy and
five patients required both chemical pleurodesis and negative suction therapy.
Conclusion
This study showed pneumothorax to be more common in male population. Traumatic
pneumothorax was the most common type followed by Secondary spontaneous
pneumothorax and Primary spontaneous pneumothorax.
KEY WORDS
Chest tube drainage, Pleurodesis, Pneumothorax, Video assisted thoracoscopic
surgery
Description
Shrestha B, Karmacharya RM, Pant S
Department of Surgery
Dhulikhel Hospital, Kathmandu University Hospital,
Kathmandu University School of Medical Sciences,
Dhulikhel, Kavre, Nepal.
Keywords
Chest tube drainage, Pleurodesis, Pneumothorax, Video assisted thoracoscopic surgery