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

Tutku Soyer (Coresponding Author), Anne Dariel, Jens Dingemann, Leopoldo Martinez, Alessio Pini-Prato, Francesco Morini, Paolo De Coppi, Ramon Gorter, Takashi Doi, Sanja Sindjic Antunovic, Mohit Kakar, Nigel J Hall

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

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.

Original languageEnglish
Number of pages7
JournalEuropean Journal of Pediatric Surgery
DOIs
Publication statusE-pub ahead of print - 25 Nov 2021

Keywords*

  • primary spontaneous pneumothorax
  • children
  • pleurodesis
  • survey

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

Fingerprint

Dive into the research topics of 'European Pediatric Surgeons' Association Survey on the Management of Primary Spontaneous Pneumothorax in Children'. Together they form a unique fingerprint.

Cite this