Ventolin

Ventolin Inhalers

- Comparative Studies Using a Rigid Thoracoscope and Fiberoptic Bronchoscope to Iteat Spontaneous Pneumothorax (1)

Comparative Studies Using a Rigid Thoracoscope and Fiberoptic Bronchoscope to Iteat Spontaneous Pneumothorax (1)Prior to 1978, the conventional treatment of pneumothorax generally consisted of conservative therapies such as rest, needle puncture, or thoracic cavity drainage; however, when those therapies were not effective or when relapse occurred, a thoracotomy was performed. This was the therapeutic policy at our hospital, as well. For example, between 1978 and 1980, eleven out of 32 patients with spontaneous pneumothorax who were admitted to our hospital required a thoracotomy; however, beginning in 1978, Takeno et al reported favorable results using a rigid thoracoscope and high-frequency electrocoagulation therapy (SPECT)2* in the treatment of blebs in patients with spontaneous pneumothorax where conservative therapy was ineffective. Consequently, in 1981, we adopted the SPECT thoracoscopic method for the treatment of spontaneous pneumothorax, where appropriate.
Although there are many reports of using a fiberoptic bronchoscope (FB) as a diagnostic aid in the treatment of spontaneous pneumothorax, design limitations of available FBs limited their therapeutic use; however, we believed that the development of an FB and FB technique for the treatment of spontaneous pneumothorax would overcome some of the problems encountered in the use of a rigid thoracoscope and provide an improved treatment for spontaneous pneumothorax. In this report, we describe and compare our experience and results using both a rigid thoracoscope and a modified FB for the treatment of patients presenting with spontaneous pneumothorax.

June 8, 2013 Rigid Thoracoscope
Tags: conservative therapies rigid thoracoscope spontaneous pneumothorax thrombin solutions