Related Experiment Video

Updated: Mar 7, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
03:22

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

Published on: November 10, 2023

1.7K

Pleurectomy versus pleural abrasion for primary spontaneous pneumothorax in children

Shahrzad Joharifard1, Brian A Coakley2, Sonia A Butterworth2

  • 1Division of General Surgery, Department of Surgery, University of British Columbia, Vancouver, Canada.

Journal of Pediatric Surgery
|February 8, 2017
PubMed

Insights

For recurrent primary spontaneous pneumothorax (PSP) surgery in children, pleurectomy significantly reduces recurrence rates compared to pleural abrasion. This surgical technique offers better outcomes for managing this common condition.

Area of Science:

  • Thoracic Surgery
  • Pediatric Surgery
  • Pulmonology

Background:

  • Primary spontaneous pneumothorax (PSP) is a frequent reason for urgent pediatric surgery.
  • Initial PSP episodes are managed with thoracostomy tubes, while recurrent cases require surgery with apical bleb resection and pleurodesis.

Purpose of the Study:

  • To compare the efficacy of pleurectomy versus pleural abrasion in reducing postoperative recurrence of PSP in pediatric patients.

Main Methods:

  • Retrospective review of surgical cases for PSP between 2005 and 2015.
  • Analysis of recurrence rates based on surgical technique: pleurectomy, pleural abrasion, or no pleural treatment.
  • Bivariate logistic regression to identify factors associated with recurrence.

Main Results:

  • Of 52 patients (64 operations), 23.4% experienced recurrence.
  • Pleurectomy was associated with a significantly lower recurrence rate (8.8%) compared to pleural abrasion (40%, p<0.01).
  • Patients undergoing pleural abrasion without pleurectomy had a 2.36 times higher risk of recurrence.

Conclusions:

  • Pleurectomy is a more effective surgical strategy than pleural abrasion for minimizing PSP recurrence in pediatric patients.
  • The findings support pleurectomy as the preferred method for pleurodesis in recurrent PSP surgery.
Abstract

Keywords:
Pleural abrasionPleurectomyPleurodesisPrimary spontaneous pneumothorax

More Related Videos

Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table04:57

Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table

Published on: July 3, 2025

1.0K
International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

14.8K

Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
1.2K
Pleura of the Lungs01:13

Pleura of the Lungs

The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
8.7K
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
1.8K
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
770
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.8K
Pleural Effusion II: Symptoms and Management01:28

Pleural Effusion II: Symptoms and Management

Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
948