Analysis of incidence and treatment of pneumothorax in five-year period in Kragujevac

Primary spontaneous pneumothorax (PSP) is one of the most common thoracic diseases affecting adolescents and young adults. Despite the high incidence of PSP and the availability of several international guidelines for its diagnosis and treatment, a significant behavioural heterogeneity can be found among those management recommendations. A working group of the Italian Society of Thoracic Surgery summarized the best evidence available on PSP management with the methodological tool of a systematic review assessing the quality of previously published guidelines with the Appraisal of Guidelines for Research and Evaluation (AGREE) II. Concerning PSP physiopathology, the literature seems to be equally divided between those who support the hypothesis of a direct correlation between changes in atmospheric pressure and temperature and the incidence of PSP, so it is not currently possible to confirm or reject this theory with reasonable certainty. Regarding the choice between conservative treatment and chest drainage in the first episode, there is no evidence on whether one option is superior to the other. Video-assisted thoracic surgery represents the most common and preferred surgical approach. A primary surgical approach to patients with their first PSP seems to guarantee a lower recurrence rate than that of a primary approach consisting of a chest drainage positioning; conversely, the percentage of futile surgical interventions that would entail this aggressive attitude must be carefully evaluated. Surgical pleurodesis is recommended and frequently performed to limit recurrences; talc poudrage offers efficient pleurodesis, but a considerable number of surgeons are concerned about administering this inert material to young patients. Clinical trial registration number International Prospective Register of Systematic Reviews (PROSPERO): CRD42018084247.

show abstract

“…The study of Spasic et al [32] in Serbia, although unclear, showed a certain degree of relationship between climate and PSP.…”

Section: Pollutants and Meteorological Parametersmentioning

confidence: 90%

Epidemiology and management of primary spontaneous pneumothorax: a systematic review

Mendogni

Vannucci

Ghisalberti

et al. 2019

Interactive CardioVascular and Thoracic Surgery

View full text Add to dashboard Cite

show abstract

The Value of Autogenous Blood Occlusion in the Treatment of Refractory Pneumothorax

何¹

2021

ACM

View full text Add to dashboard Cite

Analysis of incidence and treatment of pneumothorax in five-year period in Kragujevac

Abstract: The results of study show similarities with other studies regarding both the incidence of certain forms of pneumothorax and the gender-age profile of patients and their treatment, taking into account the observed period and the target population.

Cited by 2 publications

References 8 publications

Epidemiology and management of primary spontaneous pneumothorax: a systematic review

Epidemiology and management of primary spontaneous pneumothorax: a systematic review

The Value of Autogenous Blood Occlusion in the Treatment of Refractory Pneumothorax

Contact Info

Product

Resources

About