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Capnodissection Pleurectomy – An Innovative Surgical Technique: A Case Report
Ghaith Qsous;
Prashanth Ramaraj;
Sanjeet Singh Avtaar Singh;
Philip Herd;
Nayandra Runveer Sooraj;
Malcolm Brodie Will
ABSTRACT
Spontaneous pneumothorax (SP) is one of the most common conditions encountered in thoracic surgery. This condition can be treated conservatively or surgically based on indications and guidelines. Traditional surgical management includes pleurodesis (mechanical or chemical) in addition to bullectomy if the bullae can be identified. Mechanical pleurodesis is usually performed by surgical pleurectomy or pleural abrasion.
In this case report, we present a case of a young patient with spontaneous pneumothorax who needed a surgical intervention and we performed a new, innovative, surgical technique for surgical pleurectomy where we used carbon dioxide (CO2) for dissection of the parietal pleura (capnodissection). This technique provided similar efficiency to the traditional procedure but less risk of bleeding and complications.