{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:39:36Z","timestamp":1786649976774,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,11]]},"abstract":"\n A\n BSTRACT<\/jats:sc>\n <\/jats:title>\n \n Background:<\/jats:title>\n Primary spontaneous pneumothorax (psp) results from spontaneous rupture of bleb or bulla. Aims: We planned to discuss the etiologic factors, clinical and radiological findings, and treatment results of psp cases.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n 402 patients were evaluated. Patients were divided into two groups as patients receiving positive results with thoracostomy and patients who received positive results thoracotomy\/video-assisted thoracoscopic surgery (vats). Groups were compared. Results were evaluated using Chi-square or Fishers' exact test.\n P<\/jats:italic>\n < 0.05 was considered as significant.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Gender difference (P: 1.00) and localization of disease (P: 0.45) were not significant for psp. Smoking and being subtotal or total compared to partial had a substantial effect on the implementation of thoracotomy\/vats (\n P<\/jats:italic>\n < 0.05). Furthermore, psp was most frequently seen in August and September.\n <\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n Risk factors of psp are described as genetic predisposition, being tall, smoking, and autosomal dominant heredity. The main determinant factor in the treatment of psp is the degree of pneumothorax.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Psp was frequently observed in smokers. The preferred method for overall psp is tube thoracostomy. Thoracotomy\/vats is more commonly performed for subtotal or total psp compared to partial psp.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/njcp.njcp_361_20","type":"journal-article","created":{"date-parts":[[2021,11,15]],"date-time":"2021-11-15T05:31:44Z","timestamp":1636954304000},"page":"1669-1673","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Analysis of patients undergoing surgical treatment for primary spontaneous pneumothorax"],"prefix":"10.4103","volume":"24","author":[{"given":"M","family":"Cakmak","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, F\u0131rat University Faculty of Medicine, Elazig, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Durkan","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Health Sciences University Gazi Yasargil Education and Research Hospital, Diyarbakir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,11,15]]},"reference":[{"key":"R1-20251006","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.rmed.2018.03.009","article-title":"Efficacy of treatments in primary spontaneous pneumothorax: A systematic review and network meta-analysis of randomized clinical trials","volume":"137","author":"Vuong","year":"2018","journal-title":"Respir Med"},{"key":"R2-20251006","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/ans.14713","article-title":"Management of primary spontaneous pneumothorax: A review","volume":"89","author":"Wong","year":"2019","journal-title":"ANZ J Surg"},{"key":"R3-20251006","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1590\/S1806-37562015000000230","article-title":"Etiology of primary spontaneous pneumothorax","volume":"42","author":"Lyra","year":"2016","journal-title":"J Bras 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pneumothorax affect the clinical presentation of primary spontaneous pneumothorax?","volume":"25","author":"Aljehani","year":"2018","journal-title":"Emerg Radiol"},{"key":"R8-20251006","doi-asserted-by":"crossref","first-page":"168","DOI":"10.29271\/jcpsp.2020.02.168","article-title":"Conservative treatment approach in primary spontaneous pneumothorax","volume":"30","author":"Balta","year":"2020","journal-title":"J Coll Physicians Surg Pak"},{"key":"R9-20251006","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1093\/ejcts\/ezy003","article-title":"Surgical treatment versus conventional chest tube drainage in primary spontaneous pneumothorax: A randomized controlled trial","volume":"54","author":"Olesen","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"R10-20251006","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s12098-018-2641-0","article-title":"Thoracoscopic blebectomy and pleurodesis for primary spontaneous pneumothorax","volume":"85","author":"Sharma","year":"2018","journal-title":"Indian J Pediatr"},{"key":"R11-20251006","first-page":"853","article-title":"Genetic basis of familial spontaneous pneumothorax and lung cysts in an Indian family","volume":"46","author":"Paul","year":"2015","journal-title":"Eur Respir J"},{"key":"R12-20251006","first-page":"6014967","article-title":"Primary and secondary spontaneous pneumothorax: Prevalence, clinical features, and in-hospital mortality","volume":"2017","author":"Onuki","year":"2017","journal-title":"Can Respir J"},{"key":"R13-20251006","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/01.mcp.0000230630.73139.f0","article-title":"Familial spontaneous pneumothorax","volume":"12","author":"Chiu","year":"2006","journal-title":"Curr Opin Pulm Med"},{"key":"R14-20251006","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1007\/s11748-019-01146-y","article-title":"The clinical characteristics and surgical results of smoking-related young pneumothorax","volume":"67","author":"Tsuboshima","year":"2019","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"R15-20251006","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1136\/thorax.55.8.666","article-title":"Epidemiology of pneumothorax in England","volume":"55","author":"Gupta","year":"2000","journal-title":"Thorax"},{"key":"R16-20251006","first-page":"670","article-title":"Evaluation of cases with spontaneous pneumothorax","volume":"18","author":"Turker","year":"1993","journal-title":"Respiratory"},{"key":"R17-20251006","first-page":"52","article-title":"Evaluation of 113 patients with spontaneous pneumothorax","volume":"24","author":"Gurbuz","year":"1976","journal-title":"Tuberc Thorax"},{"key":"R18-20251006","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1089\/lap.2018.0629","article-title":"Current practice in the management of spontaneous pneumothorax in 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pneumothorax","volume":"13","author":"Plojoux","year":"2019","journal-title":"Clin Respir J"}],"container-title":["Nigerian Journal of Clinical 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