Clinical characteristics and post-surgical outcomes in patients with spontaneous pneumothorax: Analysis in a high-complex complexity hospital / Willfredy Castaño Ruiz ; Lina María Velásquez Gómez ; Sánchez Castro, Carolina ; Barrantes Moreno, Santiago ; Bernal Sierra, Sofía ; Andrés Zerrate Misas ; Vanegas, Johanna Marcela  

Público ISBD Título : Clinical characteristics and post-surgical outcomes in patients with spontaneous pneumothorax: Analysis in a high-complex complexity hospital Otros títulos : Características clínicas y desenlaces postquirúrgicos en pacientes con neumotórax espontáneo: Análisis en un hospital de alta complejidad Tipo de documento : documento electrónico Autores : Willfredy Castaño Ruiz, Autor ; Lina María Velásquez Gómez, Autor ; Sánchez Castro, Carolina, Autor ; Barrantes Moreno, Santiago, Autor ; Bernal Sierra, Sofía, Autor ; Andrés Zerrate Misas, Autor ; Vanegas, Johanna Marcela, Autor Fecha de publicación : 2025 Títulos uniformes : Revista Colombiana de Cirugía Idioma : Inglés (eng) Idioma original : Español (spa) Palabras clave : Pleurodesis; pneumothorax; postoperative complications; thoracic surgical procedures; thoracoscopy; thoracostomy Resumen : Introduction. Spontaneous pneumothorax is a rare pathology that affects both young and old people. It can have a high recurrence rate, resulting in morbidity and sometimes mortality of the patients. In our environment we do not have epidemiological data on the disease, which motivated this study to be carried out. Methods. Retrospective study of a prospective database, which included patients over 14 years of age, with a diagnosis of spontaneous pneumothorax who underwent surgery at the Hospital Pablo Tobón Uribe, Medellin, Colombia, between January 2018 and December 2023. Sociodemographic, clinical variables and postoperative outcomes 30 days after the intervention were analyzed. Results. Males were the most affected (68.2%), secondary spontaneous pneumothorax predominated (56.8%) and the right hemithorax was the most common location (63.6%). A similar incidence was found between smokers and non-smokers (45.4% vs. 52.3%, respectively). Wedge resection was the definitive treatment in 50% of patients and wedge resection associated with mechanical pleurodesis in 31.8%. The most common complication was persistent air leak. A recurrence of pneumothorax was recorded in a patient who had undergone wedge resection. At the end of the study, five patients died: three had been treated only with thoracostomy and two had been taken to surgery. Conclusions. Spontaneous pneumothorax is a rare pathology. The causes and the affected population vary according to the classification. In our environment, tuberculosis has greater relevance because it is an endemic disease. © 2025, Asociacion Colombiana de Cirugia. All rights reserved. Mención de responsabilidad : Sánchez-Castro, Carolina, Barrantes-Moreno, Santiago, Bernal-Sierra, Sofía, Zerrate-Misas, Andrés, Castaño-Ruiz, Willfredy, Vanegas, Johanna Marcela, Velásquez-Gómez, Lina. Referencia : Rev Colomb Cir 2025, 40, 79-88. DOI (Digital Object Identifier) : 10.30944/20117582.2757 Derechos de uso : CC BY-NC-ND En línea : https://www.revistacirugia.org/index.php/cirugia/article/view/2757 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Clinical characteristics and post-surgical outcomes in patients with spontaneous pneumothorax: Analysis in a high-complex complexity hospital = Características clínicas y desenlaces postquirúrgicos en pacientes con neumotórax espontáneo: Análisis en un hospital de alta complejidad [documento electrónico] / Willfredy Castaño Ruiz, Autor ; Lina María Velásquez Gómez, Autor ; Sánchez Castro, Carolina, Autor ; Barrantes Moreno, Santiago, Autor ; Bernal Sierra, Sofía, Autor ; Andrés Zerrate Misas, Autor ; Vanegas, Johanna Marcela, Autor . - 2025. Obra : Revista Colombiana de Cirugía Idioma : Inglés (eng) Idioma original : Español (spa) Palabras clave : Pleurodesis; pneumothorax; postoperative complications; thoracic surgical procedures; thoracoscopy; thoracostomy Resumen : Introduction. Spontaneous pneumothorax is a rare pathology that affects both young and old people. It can have a high recurrence rate, resulting in morbidity and sometimes mortality of the patients. In our environment we do not have epidemiological data on the disease, which motivated this study to be carried out. Methods. Retrospective study of a prospective database, which included patients over 14 years of age, with a diagnosis of spontaneous pneumothorax who underwent surgery at the Hospital Pablo Tobón Uribe, Medellin, Colombia, between January 2018 and December 2023. Sociodemographic, clinical variables and postoperative outcomes 30 days after the intervention were analyzed. Results. Males were the most affected (68.2%), secondary spontaneous pneumothorax predominated (56.8%) and the right hemithorax was the most common location (63.6%). A similar incidence was found between smokers and non-smokers (45.4% vs. 52.3%, respectively). Wedge resection was the definitive treatment in 50% of patients and wedge resection associated with mechanical pleurodesis in 31.8%. The most common complication was persistent air leak. A recurrence of pneumothorax was recorded in a patient who had undergone wedge resection. At the end of the study, five patients died: three had been treated only with thoracostomy and two had been taken to surgery. Conclusions. Spontaneous pneumothorax is a rare pathology. The causes and the affected population vary according to the classification. In our environment, tuberculosis has greater relevance because it is an endemic disease. © 2025, Asociacion Colombiana de Cirugia. All rights reserved. Mención de responsabilidad : Sánchez-Castro, Carolina, Barrantes-Moreno, Santiago, Bernal-Sierra, Sofía, Zerrate-Misas, Andrés, Castaño-Ruiz, Willfredy, Vanegas, Johanna Marcela, Velásquez-Gómez, Lina. Referencia : Rev Colomb Cir 2025, 40, 79-88. DOI (Digital Object Identifier) : 10.30944/20117582.2757 Derechos de uso : CC BY-NC-ND En línea : https://www.revistacirugia.org/index.php/cirugia/article/view/2757 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis

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