Intrapleural Pneumonolysis

1)Remember the time factor and begin active pneumothorax treatment immediately upon an individual who has a cavity. Don't wait to see what happens to the case with prolonged bed rest. Too often the realization will be accompanied by disappointment and chagrin.2)In about half the cases a pneumothorax will be complicated by adhesions.3)Don't attempt to stretch adhesions by means of a positive pressure pneumothorax.4)Make an attempt to sever them by intrapleural pneumonolysis—again remembering the importance of time—as soon as possible.5)In the hands of an expert, the unfavorable consequences of the operation are insignificant and the complications rare, but when performed by one with little experience, the dangers are very real.6)If it is impossible to improve the collapse by pneumonolysis, abandon the pneumothorax and perform a thoracoplasty.