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1 Thoracic-Cardiovascular Surgery Service, Department of Surgery, William Beaumont General Hospital, El Paso, Texas
The records of 155 patients with spontaneous pneumothorax seen at the William Beaumont (Army) General Hospital during the period 1958 to 1968 were reviewed in retrospect with emphasis on effective management. The recurrence rate was found to average 41 percent. It was 49 percent for patients treated with bed rest, 40 percent for those treated first with bed rest and later with tube thoracotomy and 38 percent for the group treated primarily with tube drainage. There was no recurrence after open thoracotomy and pleurodesis, a procedure advisable after the second episode of pneumothorax. The complication rate was low irrespective of therapeutic regimen but hospitalization was considerably shorter after tube thoracotomy, which is preferred as treatment of choice for initial management.
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