Missaoui1, Haifa Zaibi1, Aymen Ayari1, Jihen Ben Amar1, M. Ali Baccar1,
Salwa Azzebi1, Besma Dhahri1 and Hichem Aouina1
Pneumologie, Hopital Charles Nicolle, Tunis, Tunisia
Chest tube drainage (CTD)
is the most common choice for treatment of pneumothorax. The optimal
position and chest tube size for the drainage is unknown. This study
proposed to evaluate the short term effect of pneumothorax treatment
according to size and position of chest tube.
Patients with an episode of pneumothorax who required pleural
intervention were enrolled in the study.Clinical demographic data and
outcomes, including success rate, complications, drainage duration,
residual pneumothoraces and the need for surgical intervention were
collected and analyzed.
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The study group included 69 patients (mean age 39.75±17.3
years); with 25 and 38 allocated to small and large chest tube drainage
groups, respectively. The approach of CTD was performed with the apical
approach on 45 (70.3%) and axillary on 19 patients (29.7%). There were
no statistically significant differences in terms of sex, of
demographic data, complaint duration, first line treatment success,
number of an unresolved pneumothorax and size of pneumothorax in either
group. Compared with patients treated with smaller chest tubes,
patients with large-bore tubes had more complications (13.15% versus
4%), a longer duration of chest tube (10.71 versus 8.64 days; p =
0.033) and of hospitalization (12.13 versus 9.12 days; p =
0.031).Regarding their placement, no significant difference was
observed in outcomes between apical and axillary approaches.
We found small chest tubes to be superior to large-bore chest tubes
with regard to short-term outcomes in the treatment of pneumothorax.
Location of CTD does not influence their outcomes.