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ARTICLE |

Pleurectomy Through the Triangle of Auscultation for Treatment of Recurrent Pneumothorax in Younger Patients: Title and subTitle BreakEvaluation of 60 Consecutive Cases FREE

Jamshid Nazarian, MD; G. Down, MBDS; O. J. Lau, FRCS
[+] Author Affiliations

Accepted for publication Oct 24, 1986.

Dr Nazarian is now in practice in Los Angeles.

Reprint requests to 467 S Arnaz Dr, 314, Los Angeles, CA 90048 (Dr Nazarian).


Arch Surg. 1988;123(1):113-114. doi:10.1001/archsurg.1988.01400250123025
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• Sixty patients, aged 14 to 35 years, with recurrent pneumothorax were treated with pleurectomy through the triangle of auscultation, with no chest wall muscle transection. The advantages of this approach over a full thoracotomy are that with no muscle transection, a shorter postoperative recovery is expected and, subsequently, early return to normal activity is achieved. The scar may also be more cosmetically acceptable. There was no postoperative mortality, and only one patient required reoperation because of bleeding. The technique is simple, and exposure is adequate. If necessary, this limited thoracotomy can be converted to a full thoracotomy with no difficulty.

(Arch Surg 1988;123:113-114)

REFERENCES

Demeester T, Lafontaine E:  The pleura , in Sabiston D, Spencer F (eds): Surgery of the Chest . Philadelphia, WB Saunders Co, 1983;, pp 361-406.
Weeden D, Smith GH:  Surgical experience in the management of spontaneous pneumothorax, 1972-1982 . Thorax 1983;;38:737.
Lau OJ, Shawkat S:  Pleurectomy through the triangle of auscultation . Thorax 1982;;37:945.
Ferguson LJ, Imrie C, Hutchinson J:  Excision of bullae without pleurectomy in patients with spontaneous pneumothorax . Br J Surg 1981;;68:214.
Singh SV:  The surgical treatment of spontaneous pneumothorax by parietal pleurectomy . Scand J Thorac Cardiovasc Surg 1982;;16:75.
Deslauriers J, Beulier M, Despres J, et al:  Transaxilliary pleurectomy for treatment of spontaneous pneumothorax . Ann Thorac Surg 1980;;30:569.
Behl PR, Holden MP:  Pleurectomy for recurrent pneumothorax . J R Coll Surg 1984;;29:221.

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Demeester T, Lafontaine E:  The pleura , in Sabiston D, Spencer F (eds): Surgery of the Chest . Philadelphia, WB Saunders Co, 1983;, pp 361-406.
Weeden D, Smith GH:  Surgical experience in the management of spontaneous pneumothorax, 1972-1982 . Thorax 1983;;38:737.
Lau OJ, Shawkat S:  Pleurectomy through the triangle of auscultation . Thorax 1982;;37:945.
Ferguson LJ, Imrie C, Hutchinson J:  Excision of bullae without pleurectomy in patients with spontaneous pneumothorax . Br J Surg 1981;;68:214.
Singh SV:  The surgical treatment of spontaneous pneumothorax by parietal pleurectomy . Scand J Thorac Cardiovasc Surg 1982;;16:75.
Deslauriers J, Beulier M, Despres J, et al:  Transaxilliary pleurectomy for treatment of spontaneous pneumothorax . Ann Thorac Surg 1980;;30:569.
Behl PR, Holden MP:  Pleurectomy for recurrent pneumothorax . J R Coll Surg 1984;;29:221.

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