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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering With Sarcoidosis Of Lungs, Hospitalised For Large Pneumothorax, Had Reinsertion Of Chest Tube. When Should Surgery Be An Option?

my husband was hospitalised 10 days ago with a large pneumothorax .. he also suffers from sarcoidosis of the lungs. He has had the chest tube taken out and reinserted for the second time. my question is how often should they reinsert the chest tube and what should be the dr s next steps in treating my husband.. when should surgery become an option?thankyou look forward to your reply..
Tue, 21 Aug 2012
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Pulmonologist,  's  Response
Normally surgery for pneumothorax is advised for patients who have had more than 2 episodes on the same side. If one has suffered from even one attack on each side on different occasions, he should be advised surgery. This is to prevent chances of bil pneumothorax which can be lethal. You should discuss with your pulmonologist the possibility of doing pleurodesis in your husband`s case-either chemical pleurodesis through the tube or surgical pleurodesis through VATS.
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Suffering With Sarcoidosis Of Lungs, Hospitalised For Large Pneumothorax, Had Reinsertion Of Chest Tube. When Should Surgery Be An Option?

Normally surgery for pneumothorax is advised for patients who have had more than 2 episodes on the same side. If one has suffered from even one attack on each side on different occasions, he should be advised surgery. This is to prevent chances of bil pneumothorax which can be lethal. You should discuss with your pulmonologist the possibility of doing pleurodesis in your husband`s case-either chemical pleurodesis through the tube or surgical pleurodesis through VATS.