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Appendix, Gallbladder and Surgical Emergencies ·

Faster Chest Tube Removal with Water Seal in Pneumothorax

Initial treatment of traumatic pneumothorax with water seal leads to significantly shorter chest tube durations compared to suction, without increased complications.

  • Median initial chest tube duration was 41 hours for water seal vs 51 hours for suction (p = 0.001).
  • Total chest tube duration was also reduced, with water seal requiring 44 hours compared to 60 hours for suction (p = 0.011).

These findings suggest considering water seal as the first-line strategy in selected trauma patients, challenging the routine use of suction.

Journal Article by Yeates EO, Dennis BM (…) Peetz AB et 6 al. in J Am Coll Surg

Copyright © 2026 The Author(s). Published by Wolters Kluwer Health, LLC. on behalf of the American College of Surgeons.

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