Primary spontaneous pneumothorax in children: A single institutional experience
Baruch Klin1, Arnon Elizur1, Haim Bibi1
1Pediatric Division, Shamir Medical Center (Assaf Harofeh), Zerifin, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Asian Journal of Surgery
|February 14, 2021
Summary
Small primary spontaneous pneumothorax (PSP) treated conservatively has fewer recurrences. Surgery effectively prevents PSP recurrence, while pigtail catheters offer no advantage over chest tubes for drainage or hospitalization.
Area of Science:
- Pediatric Pulmonology
- Thoracic Surgery
- Medical Imaging
Background:
- Treatment for primary spontaneous pneumothorax (PSP) lacks consensus.
- Chest computed tomography (CT) role, pigtail catheter vs. chest tube efficacy, and recurrence factors require examination.
Purpose of the Study:
- To evaluate the role of CT in PSP.
- To compare pigtail catheter and chest tube outcomes.
- To determine the impact of PSP size and surgery on recurrence.
Main Methods:
- Retrospective review of 109 children with PSP over 20 years.
- Comparison of patients with recurrent versus non-recurrent PSP.
- Analysis of clinical data, imaging findings, and treatment outcomes.
Main Results:
- Recurrences were less frequent in small PSP treated conservatively (P=0.029).
- CT identified blebs/bullae more often in recurrent PSP cases.
- Pigtail catheters showed no benefit over chest tubes; surgery effectively prevented recurrences.
Conclusions:
- Pneumothorax size predicts PSP recurrence.
- CT aids in evaluating recurrent PSP findings.
- Surgical intervention is an effective method for preventing PSP recurrence.
More Related Videos
06:15Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
51.2K
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
7.0K
Related Concept Videos
01:26Pneumothorax-I
761
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.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
761
01:27Pneumothorax-II
599
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:
Clinical Manifestations:
599
01:17Pulmonary Cycle: Exhalation
2.5K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
2.5K
01:30Pneumonia I: Introduction
497
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
497
01:26Endoscopic Studies II: Thoracocentesis
859
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...
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...
859
01:25Pleural Effusion I: Introduction
2.9K
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
2.9K