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Pneumothorax

Pneumothorax Treatment by London Thoracic Surgeon

Understanding Pneumothorax: Causes, Symptoms, and Treatment

What is Pneumothorax?

Pneumothorax, commonly referred to as a collapsed lung, occurs when air leaks into the space between the lung and the chest wall. This buildup of air can exert pressure on the lung, causing it to collapse partially or completely. Pneumothorax can be spontaneous, occurring without any underlying lung disease, or secondary, resulting from lung conditions such as emphysema or trauma to the chest.

Causes of Pneumothorax

  1. Primary Spontaneous Pneumothorax: Often occurs in young, otherwise healthy individuals, typically due to the rupture of small air-filled sacs (blebs) on the lung surface.
  2. Secondary Pneumothorax: Can result from lung diseases such as chronic obstructive pulmonary disease (COPD), asthma, cystic fibrosis, or from chest trauma (e.g., rib fractures, penetrating injuries).

Symptoms of Pneumothorax

The symptoms of pneumothorax can vary depending on the extent of lung collapse:

  • Sudden onset of sharp chest pain, especially on one side
  • Shortness of breath, especially with exertion
  • Rapid heart rate (tachycardia)
  • Shallow and rapid breathing (tachypnea)
  • Cyanosis (bluish discoloration of the lips and skin due to lack of oxygen)
  • Chest tightness or discomfort

In some cases, especially with a small pneumothorax, symptoms may be mild or absent.

Diagnosis of Pneumothorax

Diagnosing pneumothorax typically involves:

  1. Physical Examination: A healthcare provider may listen to the chest with a stethoscope to detect decreased breath sounds on the affected side.
  2. Imaging Studies:
    • Chest X-ray: The primary diagnostic tool to confirm the presence and extent of pneumothorax.
    • Computed Tomography (CT) Scan: Provides detailed images and may be used to identify underlying lung conditions or assess the extent of a large pneumothorax.

Treatment Options for Pneumothorax

The approach to treating pneumothorax depends on its size, symptoms, and whether it is primary or secondary:

  1. Observation: Small, asymptomatic pneumothorax may resolve on its own with observation and monitoring.
  2. Needle Aspiration (Pleural Aspiration):
    • A procedure where a needle is inserted through the chest wall into the pleural space to remove excess air and relieve pressure on the lung.
  3. Chest Tube Insertion (Pleurodesis):
    • For larger or recurrent pneumothorax, a chest tube may be inserted to drain air and allow the lung to re-expand fully. This procedure may be combined with pleurodesis, where substances are introduced into the pleural space to create inflammation and prevent recurrence.
  4. Surgery (Thoracoscopy or Thoracotomy):
    • In cases of persistent or recurrent pneumothorax, surgical intervention may be necessary to repair the lung and prevent future episodes. This may involve thoracoscopy (minimally invasive) or thoracotomy (open surgery).

Recovery and Follow-Up

After treatment, patients are monitored closely to ensure the lung fully re-expands and to watch for recurrence. Follow-up appointments may include chest X-rays or CT scans to assess lung healing and function.

Conclusion

Pneumothorax is a potentially serious condition that requires prompt evaluation and appropriate management to prevent complications. Our team of thoracic specialists in London is dedicated to providing comprehensive care, from accurate diagnosis to personalized treatment plans tailored to your needs. If you or someone you know is experiencing symptoms of pneumothorax, don’t hesitate to contact us for expert evaluation and care.

Contact Us

For more information, contact Mr Davide Patrini today to Schedule a Consultation

or contact us at +44 20 34566259 and learn more about your treatment options.