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Article: Recurrent pneumothorax in pregnancy: What should we do after placing an intercostal drain

TitleRecurrent pneumothorax in pregnancy: What should we do after placing an intercostal drain
Authors
KeywordsPneumothorax/surgery
Pregnancy
Thoracic surgery, video-assisted
Issue Date2006
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2006, v. 12 n. 5, p. 375-380 How to Cite?
AbstractRecurrent pneumothorax is rare during pregnancy. We describe a Chinese woman, with a history of spontaneous pneumothorax managed with an intercostal drain, who developed a recurrent pneumothorax during her 32nd week of pregnancy. There is no consensus on management in this situation. We review the literature and discuss different management approaches. Thirty-six cases of antepartum pneumothorax have been reported in 31 case reports. An intercostal drain only (n=11) or surgeries (thoracotomy, n=9; or video-assisted thoracoscopy, n=2) were common treatment options with no surgical complications reported. Twenty-two (61%) patients progressed to a normal vaginal delivery, while the rest required forceps delivery (22%) or Caesarean section (14%). No single treatment option outweighed the others. There were no maternal or foetal complications reported in those who underwent antepartum surgical intervention. Surgical management of recurrent pneumothorax during pregnancy is well tolerated.
Persistent Identifierhttp://hdl.handle.net/10722/57534
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorWong, MKen_HK
dc.contributor.authorLeung, WCen_HK
dc.contributor.authorWang, JKen_HK
dc.contributor.authorLao, TTen_HK
dc.contributor.authorIp, MSen_HK
dc.contributor.authorLam, WKen_HK
dc.contributor.authorHo, JCen_HK
dc.date.accessioned2010-04-12T01:39:19Z-
dc.date.available2010-04-12T01:39:19Z-
dc.date.issued2006en_HK
dc.identifier.citationHong Kong Medical Journal, 2006, v. 12 n. 5, p. 375-380en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/57534-
dc.description.abstractRecurrent pneumothorax is rare during pregnancy. We describe a Chinese woman, with a history of spontaneous pneumothorax managed with an intercostal drain, who developed a recurrent pneumothorax during her 32nd week of pregnancy. There is no consensus on management in this situation. We review the literature and discuss different management approaches. Thirty-six cases of antepartum pneumothorax have been reported in 31 case reports. An intercostal drain only (n=11) or surgeries (thoracotomy, n=9; or video-assisted thoracoscopy, n=2) were common treatment options with no surgical complications reported. Twenty-two (61%) patients progressed to a normal vaginal delivery, while the rest required forceps delivery (22%) or Caesarean section (14%). No single treatment option outweighed the others. There were no maternal or foetal complications reported in those who underwent antepartum surgical intervention. Surgical management of recurrent pneumothorax during pregnancy is well tolerated.en_HK
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Medical Association.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectPneumothorax/surgeryen_HK
dc.subjectPregnancyen_HK
dc.subjectThoracic surgery, video-assisteden_HK
dc.subject.meshCesarean Section-
dc.subject.meshDrainage-
dc.subject.meshObstetrical Forceps-
dc.subject.meshPneumothorax - therapy-
dc.subject.meshPregnancy Complications - surgery - therapy-
dc.titleRecurrent pneumothorax in pregnancy: What should we do after placing an intercostal drainen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=12&issue=5&spage=375&epage=380&date=2006&atitle=Recurrent+pneumothorax+in+pregnancy:+what+should+we+do+after+placing+an+intercostals+drainen_HK
dc.identifier.emailIp, MS:msmip@hku.hken_HK
dc.identifier.emailHo, JC:jhocm@hku.hken_HK
dc.identifier.authorityIp, MS=rp00347en_HK
dc.identifier.authorityHo, JC=rp00258en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid17028358-
dc.identifier.scopuseid_2-s2.0-33750077263en_HK
dc.identifier.hkuros131112-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33750077263&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume12en_HK
dc.identifier.issue5en_HK
dc.identifier.spage375en_HK
dc.identifier.epage380en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridWong, MK=23480818200en_HK
dc.identifier.scopusauthoridLeung, WC=7201504435en_HK
dc.identifier.scopusauthoridWang, JK=7701308849en_HK
dc.identifier.scopusauthoridLao, TT=35275381600en_HK
dc.identifier.scopusauthoridIp, MS=7102423259en_HK
dc.identifier.scopusauthoridLam, WK=7203021937en_HK
dc.identifier.scopusauthoridHo, JC=7402649981en_HK

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