Surgical treatment for secondary pneumothorax in patients aged more than 80 years

Abstract

2 ; however, the addition of balloon occlusion of the outflow graft allowed controlled exchange of the device without the need to surgically control and clamp the graft, 3 reducing surgical dissection and potential morbidity. Placement of a Foley catheter into the outflow graft 4 offers another option of controlling back bleeding from the aorta; however, connecting the outflow graft to the new device can be made difficult by uncontrolled bleeding because the Foley catheter must be removed. Furthermore, deairing of the outflow graft is more difficult with this approach, whereas endovascular control facilitates this process. We advocate a combined hybrid approach to device exchange in patients for whom minimal surgical trauma is paramount. FIGURE 3. Surgical incisions after skin approximation (A) and 6 months after surgery (B).

Influence of old pulmonary tuberculosis on the management of secondary spontaneous pneumothorax in patients over the age of 70 years

“…Therefore, in recent years, age alone has not been used as a criterion for any type of surgery for SSP. Several studies have shown favorable outcomes by applying the surgical principle of minimal repair in elderly patients with SSP (20,21,23,24). Surgeries following this principle aim to excise only the targeted, active leakage point, and avoid performing a bullectomy of thick-walled bullae or a lung-volume-reduction surgery.…”