Synchronous Bilateral Primary Spontaneous Pneumothorax(SBPSP) is a rare but life threatening clinical situation in Thoracic Surgery Emergencies. SBPSP requires urgent intervention and treatment. Our aim is to find the rate of SBPSP and discuss the treatment modalities.
Using our medical database we revieved our patients with spontaneous pneumothorax between 2004–2007, we selected the patients with SBPSP and analyzed the urgent and elective treatment strategies and discussed the results.
There were 405 patients with primary spontaneous pneumothorax 4 of them had the diagnosis of SBPSP with the rate of 1%. All the patients were male with an average age of 30.7 years (23–53 years ) . Chest tube and closed underwater seal was applied bilaterally to the patients in the emergency room underlocal anesthesia . All patients had Computerized Tomography of thorax afterwards . To avoid recurrences surgical intervention was planned. One patient did not accept offer for surgical intervention, he had prolonged airleak and discharged on the 30 th day of hospitalization .Of the operated patients one had unilateral, the other two had bilateral apical wedge resection for the bullae . One patient had infection on the site of insicion . There were no other morbidity and mortality. Mean hospitalization time was 15.7 days (4–30) . There were no recurences on the follow up period.
SBPSP is a rare condition in thoracic surgery emergencies. Patients are primarily treated with chest tube in the emergency room.
As soon as the elective conditions are established wedge resection of the bullae should be planned. This shortens the hospitalization period thus minimalize the risk for recurrence.
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