Conservative versus interventional management for primary spontaneous pneumothorax in adults

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Conservative management of spontaneous pneumothorax.

In recent years many authors have advocated prompt active treatment for spontaneous pneumothorax in the belief that patients treated in this way recover more quickly and suffer fewer relapses (Lenox-Smith, 1962; Smith and Rothwell, 1962; Hamel, Briggs, and Schulkins, 1963). The material on which this attitude is based is very often related to hospital admissions only and does not reflect the ov...

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Study protocol for a randomised controlled trial of invasive versus conservative management of primary spontaneous pneumothorax

INTRODUCTION Current management of primary spontaneous pneumothorax (PSP) is variable, with little evidence from randomised controlled trials to guide treatment. Guidelines emphasise intervention in many patients, which involves chest drain insertion, hospital admission and occasionally surgery. However, there is evidence that conservative management may be effective and safe, and it may also r...

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Video-assisted Thoracoscopic Surgery Versus Axillary Thoracotomy in Primary Spontaneous Pneumothorax

Introduction: Video-assisted thoracic surgery (VATS) is now commonly used for primary spontaneous pneumothorax. In the present study we compared the outcomes of this technique with those obtained by conventional thoracotomy.Material and Methods: In this cross-sectional stud, forty patients were enrolled into two groups: VATS (n=20) and thoracotomy (n=20). In both groups the blebs were resected ...

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Ambulatory management of large primary spontaneous pneumothorax.

In a recent issue of the European Respiratory Journal, MASSONGO et al. [1] reported the results of a prospective study dealing with ambulatory management of primary spontaneous pneumothorax (PSP) using a pigtail catheter with one-way valve in a series of 60 consecutive patients. The authors reported a success rate of 83%, a 1-year recurrence rate of 17% and full outpatient management in 50% of ...

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Recurrence of primary spontaneous pneumothorax in young adults and children.

OBJECTIVES Although better nutritional support has improved the growth rates in children, the occurrence of primary spontaneous pneumothorax has also been increasing in children. The current study attempts to investigate the occurrence and recurrence of primary spontaneous pneumothorax and the efficacy of surgery for primary spontaneous pneumothorax in young adults and children. METHODS A tot...

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ژورنال

عنوان ژورنال: Cochrane Database of Systematic Reviews

سال: 2014

ISSN: 1465-1858

DOI: 10.1002/14651858.cd010565.pub2