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Journal of the Korean Society of Neonatology 1999;6(1):24-29.
Published online January 1, 2001.
Comparison of Therapeutic Effects and Complications between Pigtail Catheter and Conventional Tube Thoracotomy for Pneumothorax in Neonates.
Seong Hee Shin, Ju Wan Kim, Young Ah Lee, Hye Sun Yoon, Hong Jin Lee, Kyung Ja Lee
1Department of Pediatrics, College of Medicine, Hallym University, Kangnam Sacred Heart Hospital, Korea.
2Department of Pediatrics, College of Medicine, Hallym University, Chuncheon Sacred Heart Hospital, Korea.
Abstract
PURPOSE
Pneumothorax develops frequently as a complication of respiratory diseases and in the course of management in newborn. We compared therapeutic effects and complications of conventional tube thoracotomy and Pigtail catheter inserted by modified Fuhrman's technique for pneumothorax in neonates.
METHODS
We reviewed the clinical records of 22 infants with pneumothorax treated with tube thoracotomy and 14 infants with Pigtail catheter, admitted at Kangnarn Sacred Heart Hospital and ChunCheon Sacred Heart Hospital between Jan 1995 and Jul 1998. Sex ratio(13: 9 vs. 7: 7), gestational age(32.7+/-4.3 vs. 31.5+/-5.5 wks), birth weight(1906+/-1025 vs. 1836+/-1128 g) and the incidence of tension pneumothorax(68% vs. 59%) and spontaneous pneumothorax(18% vs. 35%) were not significantly different between two groups.
RESULTS
The tube insertion time(5.1+/-4.8 vs. 4.3+/-4.1 days of life), duration of tube insertion(168+/-150 vs. 86+/-78 hrs), duration of mechanical ventilation after tube insertion (8.6+/-6.9 vs. 5.8 and mortality during tube insertion(65% vs. 43%) were not significantly different between tube thoracotomy group and Pigtail catheter inserted group. The complications such as hemothorax and pulmonary hemorrhage were found in 7 cases in tube thoracotomy group but none in Pigtail catheter inserted group.
CONCLUSION
Conventional chest tube insertion for pneumothorax can often be traumatic, but Pigtail catheter insertion is safer and easier. Percutaneous placement of Pigtail catheters may be a useful alternative to the conventional method of thoracotomy tube placement in small infants.
Key Words: Pneumothorax, Pigtail catheter, Thoracostomy


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