{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:15:40Z","timestamp":1777551340398,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,1,19]],"date-time":"2019-01-19T00:00:00Z","timestamp":1547856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pneumothorax is a common condition with various management options. We aimed to determine the current surgical practice in the United Kingdom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>An online questionnaire regarding surgical strategy was sent to all consultants who were members of the Society for Cardiothoracic Surgery (80 thoracic).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty-six consultants, mainly thoracic, responded to the survey. Video-assisted thoracoscopic surgery was unanimously the preferred approach, the majority (59%) using 3 ports. Regarding the timing of surgery, 53 (95%) surgeons would intervene at first presentation with persistent air leak and\/or lung collapse, 41 (73%) for a first bilateral pneumothorax, 22 (39%) only for recurrent pneumothorax, and 18 (32%) for the first computed tomography evidence of bullae. Apical bullectomy\u2009+\u2009pleurectomy was the preferred technique for 26 (46%) surgeons, and apical bullectomy\u2009+\u2009apical pleurectomy\u2009+\u2009pleural abrasion was the choice for 13 (23%). Some surgeons were concerned about talc and avoid it. The majority (70%) used a single apical drain with or without 24\u201348 h suction. Regarding chest radiography, the response was variable but 48% performed immediate postoperative and\/or daily chest radiographs. Currently, most surgeons (59%) use digital drains and feel it monitors air leaks better. The perceived chronic pain (1%\u20133%) and recurrence rates (0%\u20133%) were stated by 59% and 86%, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is variability in the surgical management of pneumothorax among surgeons across the UK, but they all use video-assisted thoracoscopic surgery as the intervention of choice for pneumothorax surgery, and there is a shift towards early surgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492319825943","type":"journal-article","created":{"date-parts":[[2019,1,19]],"date-time":"2019-01-19T11:14:52Z","timestamp":1547896492000},"page":"180-186","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Approach to pneumothorax surgery: a national survey of current UK practice"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4193-2176","authenticated-orcid":false,"given":"Muhammad","family":"Asghar Nawaz","sequence":"first","affiliation":[{"name":"Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denish","family":"Apparau","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Zacharias","sequence":"additional","affiliation":[{"name":"Blackpool Victoria Hospital, Blackpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Shackcloth","sequence":"additional","affiliation":[{"name":"Liverpool Heart and Chest Hospital, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,19]]},"reference":[{"key":"bibr1-0218492319825943","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.136986"},{"key":"bibr2-0218492319825943","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.2.590"},{"key":"bibr3-0218492319825943","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2004.la0138"},{"key":"bibr4-0218492319825943","volume-title":"Lung cancer clinical outcomes publication 2017 (for surgical operations performed in 2015)","author":"Royal College of 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