Primary spontaneous pneumothorax in pediatric patients: our 7-year experience

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Mirko ZganjerVlasta Zganjer

Abstract

Primary spontaneous pneumothorax in children is a significant clinical problem. The majority of these patients will require immediate surgical therapy, such as tube thoracostomy. We conducted a retrospective review of 16 patients with a diagnosis of primary spontaneous pneumothorax over a period of 7 years. In the last 7 years, we had 16 patients with spontaneous pneumothorax. Patient age ranged from 11 to 18 years (median, 15.4). We had 12 boys and 4 girls. Pneumothorax occurred on the right side in 9 patients, on the left side in 6 patients, and on both sides in 1 patient. The first choice of treatment was tube thoracostomy. The main symptoms were chest pain, shortness of breath, and cough. In all patients, we made X-ray and computed tomography scan. In 10 children, we detected apical bullas; in 2 patients, we found giant bullas in the lower part of the lung. In 4 patients, we did not find any pathologic signs on the lung. Two patients with spontaneous pneumothorax had tube drainage without recurrence. Eleven patients were operated on with video-assisted thoracoscopic surgery (VATS). Three patients were operated with open thoracotomy. Two of them had giant bullas, and 1 patient had recurrence after VATS. One patient had pneum...Continue Reading

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Citations

Jul 6, 2014·BMC Pediatrics·Paul C JohannesmaPieter E Postmus
Jul 7, 2012·Pediatric Emergency Care·Kurtis Dotson, Laurie H Johnson
Mar 14, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Zenon PogorelićDubravko Furlan
Mar 29, 2012·Pediatric Emergency Care·Kurtis DotsonMike Gittelman
Oct 11, 2019·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Sarah Kher Ru SimYong Chen
Jun 4, 2011·Current Opinion in Otolaryngology & Head and Neck Surgery

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