Review: Diagnosis and Treatment of Primary Spontaneous Pneumothorax

Overview

Journal J Zhejiang Univ Sci B

Specialties Biology
General Medicine

Date 2010 Sep 28

PMID 20872980

Citations 38

Authors

Shi-Ping Luh

Affiliations

Soon will be listed here.

Abstract

Primary spontaneous pneumothorax (PSP) commonly occurs in tall, thin, adolescent men. Though the pathogenesis of PSP has been gradually uncovered, there is still a lack of consensus in the diagnostic approach and treatment strategies for this disorder. Herein, the literature is reviewed concerning mechanisms and personal clinical experience with PSP. The chest computed tomography (CT) has been more commonly used than before to help understand the pathogenesis of PSP and plan further management strategies. The development of video-assisted thoracoscopic surgery (VATS) has changed the profiles of management strategies of PSP due to its minimal invasiveness and high effectiveness for patients with these diseases.

Citing Articles

When back pain masks a pneumothorax: Atypical presentation in a healthy young nonsmoker male.

Hussein M, Hashim H, Jawad S, Jaheed A, Al-Badri S, Almusawi M Radiol Case Rep. 2024; 20(2):867-870.

PMID: 39654578 PMC: 11625109. DOI: 10.1016/j.radcr.2024.10.108.

Incidence and risk factors for recurrent primary spontaneous pneumothorax after video-assisted thoracoscopic surgery: a systematic review and meta-analysis.

Huang N, He S, Chen S, Zhang G, Ruan L, Huang J J Thorac Dis. 2024; 16(6):3696-3710.

PMID: 38983166 PMC: 11228730. DOI: 10.21037/jtd-24-175.

Spontaneous Pneumothorax in a Healthy Young Woman: Discussion About Treatment Options.

Brill L, Li N, Carino G Cureus. 2024; 16(3):e55633.

PMID: 38586686 PMC: 10996433. DOI: 10.7759/cureus.55633.

Chest tube removal at different gas flows in prolonged air leak: a randomized non-inferiority trial.

Li X, Yang H, Cai Y, Ye X, Chen Q, Ji Y Eur J Cardiothorac Surg. 2024; 65(3).

PMID: 38479816 PMC: 10963076. DOI: 10.1093/ejcts/ezae097.

Persistent pneumothorax treatment following congenital cardiac surgery by platelet-fibrin glue.

Maleki M, Tashnizi M, Shahri H, Emadi E, Alamdari D, Sahebkar A Updates Surg. 2023; 76(2):647-652.

PMID: 38104302 DOI: 10.1007/s13304-023-01728-9.

References

Noppen M, De Keukeleire T . Pneumothorax. Respiration. 2008; 76(2):121-7. DOI: 10.1159/000135932. View

Olavarrieta J, Coronel P . Expectations and patient satisfaction related to the use of thoracotomy and video-assisted thoracoscopic surgery for treating recurrence of spontaneous primary pneumothorax. J Bras Pneumol. 2009; 35(2):122-8. DOI: 10.1590/s1806-37132009000200004. View

Bradley M, Williams C, Walshaw M . The value of routine expiratory chest films in the diagnosis of pneumothorax. Arch Emerg Med. 1991; 8(2):115-6. PMC: 1285751. DOI: 10.1136/emj.8.2.115. View

Chen Y, Luh S, Hsu K, Chen C, Tsao T, Chen J . Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax. J Zhejiang Univ Sci B. 2008; 9(4):335-40. PMC: 2276678. DOI: 10.1631/jzus.B0720235. View

Kelly A . Treatment of primary spontaneous pneumothorax. Curr Opin Pulm Med. 2009; 15(4):376-9. DOI: 10.1097/MCP.0b013e32832ae314. View

Schmidt-Horlohe N, Rudig L, Azvedo C, Habekost M . Fulminant unilateral pulmonary edema after insertion of a chest tube: a complication after a primary spontaneous pneumothorax. Dtsch Arztebl Int. 2009; 105(50):878-81. PMC: 2689631. DOI: 10.3238/arztebl.2008.0878. View

Horio H, Nomori H, Kobayashi R, NARUKE T, Suemasu K . Impact of additional pleurodesis in video-assisted thoracoscopic bullectomy for primary spontaneous pneumothorax. Surg Endosc. 2002; 16(4):630-4. DOI: 10.1007/s00464-001-8232-5. View

Cheng Y, Huang T, Lin C, Lee S, Tzao C, Chen J . The impact of smoking in primary spontaneous pneumothorax. J Thorac Cardiovasc Surg. 2009; 138(1):192-5. DOI: 10.1016/j.jtcvs.2008.12.019. View

Martinez-Ramos D, Angel-Yepes V, Escrig-Sos J, Manuel Miralles-Tena J, Salvador-Sanchis J . [Usefulness of computed tomography in determining risk of recurrence after a first episode of primary spontaneous pneumothorax: therapeutic implications]. Arch Bronconeumol. 2007; 43(6):304-8. DOI: 10.1016/s1579-2129(07)60075-5. View

10.

Chen J, Hsu H, Kuo S, Tsai P, Chen R, Lee J . Effects of additional minocycline pleurodesis after thoracoscopic procedures for primary spontaneous pneumothorax. Chest. 2004; 125(1):50-5. DOI: 10.1378/chest.125.1.50. View

11.

Huang T, Lee S, Cheng Y, Tzao C, Hsu H, Chang H . Contralateral recurrence of primary spontaneous pneumothorax. Chest. 2007; 132(4):1146-50. DOI: 10.1378/chest.06-2772. View

12.

Abdala O, Levy R, Bibiloni R, Viso H, de Souza M, Satler V . [Advantages of video assisted thoracic surgery in the treatment of spontaneous pneumothorax]. Medicina (B Aires). 2001; 61(2):157-60. View

13.

Ben-Nun A, Soudack M, Best L . Video-assisted thoracoscopic surgery for recurrent spontaneous pneumothorax: the long-term benefit. World J Surg. 2006; 30(3):285-90. DOI: 10.1007/s00268-005-0235-2. View

14.

Luh S, Liu H . Video-assisted thoracic surgery--the past, present status and the future. J Zhejiang Univ Sci B. 2006; 7(2):118-28. PMC: 1363755. DOI: 10.1631/jzus.2006.B0118. View

15.

Guimaraes C, Donnelly L, Warner B . CT findings for blebs and bullae in children with spontaneous pneumothorax and comparison with findings in normal age-matched controls. Pediatr Radiol. 2007; 37(9):879-84. DOI: 10.1007/s00247-007-0537-7. View

16.

Cardillo G, Facciolo F, Regal M, Carbone L, Corzani F, Ricci A . Recurrences following videothoracoscopic treatment of primary spontaneous pneumothorax: the role of redo-videothoracoscopy. Eur J Cardiothorac Surg. 2001; 19(4):396-9. DOI: 10.1016/s1010-7940(01)00611-x. View

17.

Qureshi F, Sandulache V, Richardson W, Ergun O, Ford H, Hackam D . Primary vs delayed surgery for spontaneous pneumothorax in children: which is better?. J Pediatr Surg. 2005; 40(1):166-9. DOI: 10.1016/j.jpedsurg.2004.09.042. View

18.

Ohata M, Suzuki H . Pathogenesis of spontaneous pneumothorax. With special reference to the ultrastructure of emphysematous bullae. Chest. 1980; 77(6):771-6. DOI: 10.1378/chest.77.6.771. View

19.

Bense L, Eklund G, WIMAN L . Smoking and the increased risk of contracting spontaneous pneumothorax. Chest. 1987; 92(6):1009-12. DOI: 10.1378/chest.92.6.1009. View

20.

Pompeo E, Tacconi F, Mineo D, Mineo T . The role of awake video-assisted thoracoscopic surgery in spontaneous pneumothorax. J Thorac Cardiovasc Surg. 2007; 133(3):786-90. DOI: 10.1016/j.jtcvs.2006.11.001. View