Algorithm of treatment of spontaneous pheumothorax

Spontaneous pheumothorax is one of the frequent reasons of hospitalization of patients in specialized thoracic and all-surgical offices. In our research the material on treatment of 100 patients - with 2010 on 2014 is presented. in the conditions of thoracic surgical office of the Ulyanovsk regional clinical hospital. Drainage of a pleural cavity is executed 53 (53 %) by the patient, drainage and then a videothoracoscopy (clipping of bulls) 36 (36 %), the video assisted minithoracotomy (clipping of bulls or a regional resection of a lung the device Endo Gia) - 11 (11 %) patients. At patients only after draining of a pleural cavity of a lung was observed on the average for 4,3±2,7 days, at an inefficiency of this method of treatment were carried out minithoracotomy or thoracoscopy intervention. Removal of drainages happened for 7,4±4,1 days at patients after thoracoscopy operation, for 7,1±6,2 days after a minithoracotomy. It is established that the minithoracotomy and a videothoracoscopy promote prevention of recurrence of spontaneous pheumothorax.