European Pediatric Surgeons' Association Survey on the Management of Primary Spontaneous Pneumothorax in Children
European Pediatric Surgeons' Association Survey on the Management of Primary Spontaneous Pneumothorax in Children
Aim To evaluate the practice patterns of the European Pediatric Surgeons' Association (EUPSA) members regarding the management of primary spontaneous pneumothorax (PSP) in children. Methods An online survey was distributed to all members of EUPSA. Results In total, 131 members from 44 countries participated in the survey. Interventional approach (78%) is the most common choice of treatment in the first episode, and most commonly, chest tube insertion (71%) is performed. In the case of a respiratory stable patient, 60% of the responders insert chest tubes if the pneumothorax is more than 2 cm. While 49% of surgeons prefer surgical intervention in the second episode, 42% still prefer chest tube insertion. Main indications for surgical treatment were the presence of bullae more than 2 cm (77%), and recurrent pneumothorax (76%). Eighty-four percent of surgeons prefer thoracoscopy and perform excision of bullae with safe margins (91%). To prevent recurrences, 54% of surgeons perform surgical pleurodesis with pleural abrasion (55%) and partial pleurectomy (22%). The responders who perform thoracoscopy use more surgical pleurodesis and prefer shorter chest tube duration than the surgeons performing open surgery (p < 0.05). Conclusion Most of the responders prefer chest tube insertion in the management of first episode of PSP and perform surgical treatment in the second episode in case of underlying bullae more than 2 cm and recurrent pneumothorax. The surgeons performing thoracoscopy use more surgical pleurodesis and prefer shorter chest tube duration than the responders performing open surgery. The development of evidence-based guidelines may help standardize care and improve outcomes in children with PSP.
children, pleurodesis, primary spontaneous pneumothorax, survey
Soyer, Tutku
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Dariel, Anne
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Dingemann, Jens
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Martinez, Leopoldo
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Prato, Alessio Pini
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Morini, Francesco
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De Coppi, Paolo
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Gorter, Ramon
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Doi, Takashi
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Sindjic-Antunovic, Sanja
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Kakar, Mohit
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Hall, Nigel
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25 November 2021
Soyer, Tutku
895753d9-c510-4c59-ae4a-b65e3cf79a6a
Dariel, Anne
2f798726-7cc7-45f6-9906-b0145396993a
Dingemann, Jens
4c9174f5-cb10-4c69-b491-3f1c0d2465b4
Martinez, Leopoldo
8ec5a91a-d2c8-4a2a-a27c-6a344677a129
Prato, Alessio Pini
71b35f36-ce30-424e-98d1-47cf9f65e80f
Morini, Francesco
a908edaa-9654-4836-801d-510bc8682760
De Coppi, Paolo
6c2e07df-18ee-4c7a-b0f1-4f8c32cb15c6
Gorter, Ramon
65311c98-3657-45be-a705-6b1ee61f2905
Doi, Takashi
1463e2d1-7e2d-443e-9460-230a34c6be75
Sindjic-Antunovic, Sanja
d76157f1-516f-4b94-a777-4206aff4daf0
Kakar, Mohit
b8ad9250-7a97-444f-9c21-2685e63475ef
Hall, Nigel
6919e8af-3890-42c1-98a7-c110791957cf
Soyer, Tutku, Dariel, Anne, Dingemann, Jens, Martinez, Leopoldo, Prato, Alessio Pini, Morini, Francesco, De Coppi, Paolo, Gorter, Ramon, Doi, Takashi, Sindjic-Antunovic, Sanja, Kakar, Mohit and Hall, Nigel
(2021)
European Pediatric Surgeons' Association Survey on the Management of Primary Spontaneous Pneumothorax in Children.
European Journal of Pediatric Surgery.
(doi:10.1055/s-0041-1739420).
Abstract
Aim To evaluate the practice patterns of the European Pediatric Surgeons' Association (EUPSA) members regarding the management of primary spontaneous pneumothorax (PSP) in children. Methods An online survey was distributed to all members of EUPSA. Results In total, 131 members from 44 countries participated in the survey. Interventional approach (78%) is the most common choice of treatment in the first episode, and most commonly, chest tube insertion (71%) is performed. In the case of a respiratory stable patient, 60% of the responders insert chest tubes if the pneumothorax is more than 2 cm. While 49% of surgeons prefer surgical intervention in the second episode, 42% still prefer chest tube insertion. Main indications for surgical treatment were the presence of bullae more than 2 cm (77%), and recurrent pneumothorax (76%). Eighty-four percent of surgeons prefer thoracoscopy and perform excision of bullae with safe margins (91%). To prevent recurrences, 54% of surgeons perform surgical pleurodesis with pleural abrasion (55%) and partial pleurectomy (22%). The responders who perform thoracoscopy use more surgical pleurodesis and prefer shorter chest tube duration than the surgeons performing open surgery (p < 0.05). Conclusion Most of the responders prefer chest tube insertion in the management of first episode of PSP and perform surgical treatment in the second episode in case of underlying bullae more than 2 cm and recurrent pneumothorax. The surgeons performing thoracoscopy use more surgical pleurodesis and prefer shorter chest tube duration than the responders performing open surgery. The development of evidence-based guidelines may help standardize care and improve outcomes in children with PSP.
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Accepted/In Press date: 1 October 2021
e-pub ahead of print date: 25 November 2021
Published date: 25 November 2021
Additional Information:
Publisher Copyright:
© 2021 Georg Thieme Verlag. All rights reserved.
Keywords:
children, pleurodesis, primary spontaneous pneumothorax, survey
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Local EPrints ID: 452115
URI: http://eprints.soton.ac.uk/id/eprint/452115
ISSN: 0939-7248
PURE UUID: 2d2eeed9-2758-4428-950d-b9837c7efcff
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Date deposited: 25 Nov 2021 16:30
Last modified: 17 Mar 2024 06:56
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Contributors
Author:
Tutku Soyer
Author:
Anne Dariel
Author:
Jens Dingemann
Author:
Leopoldo Martinez
Author:
Alessio Pini Prato
Author:
Francesco Morini
Author:
Paolo De Coppi
Author:
Ramon Gorter
Author:
Takashi Doi
Author:
Sanja Sindjic-Antunovic
Author:
Mohit Kakar
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