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European Pediatric Surgeons' Association Survey on the Management of Primary Spontaneous Pneumothorax in Children

Soyer, Tutku; Dariel, Anne; Dingemann, Jens; Martinez, Leopoldo; Pini-Prato, Alessio; Morini, Francesco; De Coppi, Paolo; ... Hall, Nigel J; + view all (2022) European Pediatric Surgeons' Association Survey on the Management of Primary Spontaneous Pneumothorax in Children. European Journal of Pediatric Surgery , 32 (05) pp. 415-421. 10.1055/s-0041-1739420. Green open access

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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.

Type: Article
Title: European Pediatric Surgeons' Association Survey on the Management of Primary Spontaneous Pneumothorax in Children
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1055/s-0041-1739420
Publisher version: https://doi.org/10.1055/s-0041-1739420
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Children, Life Sciences & Biomedicine, Pediatrics, pleurodesis, primary spontaneous pneumothorax, Science & Technology, Surgery, survey
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10179309
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