Primary vs delayed surgery for spontaneous pneumothorax in children: which is better?


QURESHI F., SANDULACHE V., RICHARDSON W., Ergun O. , FORD H., HACKAM D.

JOURNAL OF PEDIATRIC SURGERY, vol.40, no.1, pp.166-169, 2005 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 40 Issue: 1
  • Publication Date: 2005
  • Doi Number: 10.1016/j.jpedsung.2004.09.042
  • Title of Journal : JOURNAL OF PEDIATRIC SURGERY
  • Page Numbers: pp.166-169

Abstract

Background: Controversy exists regarding the timing of surgery for spontaneous pneumothorax (SP), which can be performed either after the first development of pneumothorax or after a recurrent spontaneous pneumothorax has occurred. Treatment after recurrence is often adopted because of the purported low recurrence of SP treated nonoperatively and the historical morbidity of open surgery. However, the effectiveness of VATS (to video-assisted bullectomy and pleurodesis) has raised the possibility of performing primary VATS (PV) in all patients. The authors therefore hypothesized that PV is safe and effective for SP and sought to perform a cost-benefit analysis of PV vs secondary VATS (SV).