Open thoracotomy and pleural abrasion in the treatment of spontaneous pneumothorax in cystic fibrosis.

The various treatments of spontaneous pneumothorax in cystic fibrosis are examined over 
a 15-yr period. Open thoracotomy with pleural abrasion is compared to 
observation, tube thoracostomy, and tube thoracostomy with instillation of quinacrine. Open 
thoracotomy with pleural abrasion has been performed 31 times in 20 
patients. Discussion centers around selection of patients, preoperative preparation, operative technique, 
and postoperative care and follow- up, including analysis of pulmonary function 
studies. In our experience, open thoracotomy with pleural abrasion is a 
safe and effective method that should be utilized in the management 
of pneumothorax in patients with cystic fibrosis. 