{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T11:13:15Z","timestamp":1787742795072,"version":"build-2784847793"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Pigtail catheter (PGC) insertion due to spontaneous pneumothorax (SPT) in the pediatric population has increased markedly in the last years. However, only few studies examined its efficacy in terms of length of hospitalization, rate of complications, and especially pain management comparing to large bore catheter (LBC) insertion. We sought to compare analgetic drug consumption, efficacy, and complication rate between PGC and LBC in children with SPT.<\/jats:p><jats:p>\n          Materials and Methods\u2003This is a single-center retrospective study of pediatric patients that were admitted to the Schneider Children's Medical Center between 2013 and 2021 with a diagnosis of SPT. The following data were collected: type of drainage (PGC or LBC), duration of drainage, length of hospitalization, number of X-rays, complication rate, surgery during hospitalization, readmission due to SPT, and pain management.<\/jats:p><jats:p>\n          Results\u2003Seventeen PGC and 23 LBC were inserted in our study. No differences were noted in terms of hospitalization length, tube reposition or replacement, and recurrence of SPT between the groups. Patients with PGC underwent less X-rays comparing to the LBC group (3 X-rays vs. 5, median, p\u2009&lt;\u20090.005). Oral analgesic use in terms of length of therapy was significantly lower in the PGC group than in the LBC group (1 vs. 3+ days, median, p\u2009&lt;\u20090.05). There was no major complication in this cohort.<\/jats:p><jats:p>\n          Conclusion\u2003PGC is an effective, safe, and less painful alternative compared with a LBC for the drainage of SPT in children.<\/jats:p>","DOI":"10.1055\/a-2102-4360","type":"journal-article","created":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T22:52:32Z","timestamp":1685400752000},"page":"346-350","source":"Crossref","is-referenced-by-count":1,"title":["Pigtail Catheter versus Large Bore Chest Tube for the Management of Spontaneous Pneumothorax in Children: A Retrospective Study"],"prefix":"10.1055","volume":"34","author":[{"given":"Tal","family":"Weiss","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center of Israel, Petah Tikva, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Dreznik","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center of Israel, Petah Tikva, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dragan","family":"Kravarusic","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center of Israel, Petah Tikva, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,26]]},"reference":[{"issue":"12","key":"ref1","doi-asserted-by":"crossref","first-page":"2333","DOI":"10.1016\/j.jpedsurg.2021.02.003","article-title":"Asymptomatic non-occult pneumothorax in pediatric blunt chest trauma: chest tube versus observation","volume":"56","author":"O Osuchukwu","year":"2021","journal-title":"J Pediatr Surg"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1016\/j.chest.2018.01.048","article-title":"A systematic review and meta-analysis comparing pigtail catheter and chest tube as the initial treatment for pneumothorax","volume":"153","author":"S H Chang","year":"2018","journal-title":"Chest"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1097\/00006565-200208000-00008","article-title":"Pigtail catheters versus large-bore chest tubes for pneumothoraces in children treated in the emergency department","volume":"18","author":"K E Dull","year":"2002","journal-title":"Pediatr Emerg Care"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"e17","DOI":"10.1136\/emermed-2011-200986","article-title":"Small-bore pigtail catheters for the treatment of primary spontaneous pneumothorax in young adolescents","volume":"30","author":"H C Kuo","year":"2013","journal-title":"Emerg Med J"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"459","DOI":"10.5152\/TurkThoracJ.2021.20281","article-title":"Comparison of the therapeutic effects of a pigtail catheter and chest tube in the treatment of spontaneous pneumothorax: a randomized clinical trial study","volume":"22","author":"S Z Rasihashemi","year":"2021","journal-title":"Turk Thorac J"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"327","DOI":"10.21037\/jtd.2017.02.18","article-title":"The influence of chest tube size and position in primary spontaneous pneumothorax","volume":"9","author":"S S Riber","year":"2017","journal-title":"J Thorac Dis"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1002\/bjs.9377","article-title":"Randomized clinical trial of pigtail catheter versus chest tube in injured patients with uncomplicated traumatic pneumothorax","volume":"101","author":"N Kulvatunyou","year":"2014","journal-title":"Br J Surg"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1097\/TA.0000000000003180","article-title":"The small (14 Fr) percutaneous catheter (P-CAT) versus large (28-32 Fr) open chest tube for traumatic hemothorax: a multicenter randomized clinical trial","volume":"91","author":"N Kulvatunyou","year":"2021","journal-title":"J Trauma Acute Care Surg"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2102-4360.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T11:50:41Z","timestamp":1730807441000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2102-4360"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,29]]},"references-count":8,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2024,7,5]]},"published-print":{"date-parts":[[2024,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2102-4360","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,5,29]]},"published":{"date-parts":[[2023,5,29]]}}}