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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Spontaneous Pnemothorax. Done X-ray. Advised Oxygen Therapy, Surgical Pleurodesis. Complications?

i am a medical Doctor.my son 19yrs 6.3 feet tal thin has been diagnosed as spontaneous pnemothorax left sided on 28/09/2013.his repeated xray chest are same till date.he has advised oxygen therapy at home and surgical pleurodesis after his completion of exams in december.2013
can i wait so long ?,will it cause fibrosis of lung,?what are complications of surgical removal of pleura.is chemical pleurodasis better of surgical
Tue, 29 Oct 2013
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Pulmonologist 's  Response
If its the first time he has had a pneumo then u may not do a pleurodesis however the lung should come up to maintain oxygenation
As you say the lungs have not come up then you need to give 100 % oxygen and see. Even then if it doesn't then surgery remains the only option as either the fistula is not allowing the lungs to expand or a thick pleura. You can also apply negative suction and see after putting icd.
Surgical pleurodesis is the best but talc insufflation byVATS will have the same result
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Diagnosed Spontaneous Pnemothorax. Done X-ray. Advised Oxygen Therapy, Surgical Pleurodesis. Complications?

If its the first time he has had a pneumo then u may not do a pleurodesis however the lung should come up to maintain oxygenation As you say the lungs have not come up then you need to give 100 % oxygen and see. Even then if it doesn t then surgery remains the only option as either the fistula is not allowing the lungs to expand or a thick pleura. You can also apply negative suction and see after putting icd. Surgical pleurodesis is the best but talc insufflation byVATS will have the same result