Complete Atelectasis of the Lung in Patients With Primary Spontaneous Pneumothorax

Size of Pneumothorax can be a New Indication for Surgical Treatment in Primary Spontaneous Pneumothorax: A Prospective Study

“…1,18) Potential ipsilateral recurrences or PAL might be thought to be more frequent in patients with total lung collapse since the defect has been reported to be larger in such patients. 1,18) In the study performed by Ryu, et al 15) as well, the prevalence of ipsilateral recurrence and PAL was found higher in total lung collapse as compared to with partial collapse (70%, 39%, and 29%, 10%, respectively). These studies raise the thought that the size of pneumothorax as well may be an indication for surgery.…”

“…11,14) As the recurrence rates have been reported to be 54% within four years after the first attack, it can be thought that the recurrence rate in our study might be increased after long follow-up period. 15) Bulla/bleb resection and wide pleural abrasion was applied to our patients via AT or VATS. Nowadays, AT in PSP, which is a benign disease, is considered effective to prevent ipsilateral recurrence, but it is a highly invasive procedure.…”

“…Nowadays, AT in PSP, which is a benign disease, is considered effective to prevent ipsilateral recurrence, but it is a highly invasive procedure. 12,15) And VATS management of PSP offers good short-term results with excellent long-term freedom from re-operation and low recurrence. 13) We as well recommend VATS as the first choice in patients with PSP who require surgical intervention.…”

Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline

“…The size should therefore be determined and used for the primary assessment of the pneumothorax [89,90].…”

“…Dyspnea and a large pneumothorax are therapy-relevant findings [10,90,95]. Observation of the patient with dyspnea alone is not appropriate.…”