Pleural abrasion via axillary thoracotomy in the era of video assisted thoracic surgery

Abstract

Background-Recurrent episodes ofspontaneous pneumothorax can be managed medically or surgically by various methods, video assisted thoracoscopy being the latest and most attractive. Methods-A retrospective analysis was made of 43 pleural abrasions performed in 39 patients through a 4-6 cm axillary thoracotomy incision. Results-There were no deaths and complications were few. At a mean follow up of 33 months there were two recurrences, neither of which required drainage. Conclusions-Compared with results achieved with video assisted thoracoscopic surgery, open pleural abrasion via a small thoracotomy may be the treatment of choice in most hospitals.