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Consensus Statements

Management of Spontaneous Pneumothorax
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Table 20—General Type of Surgical Approach to Spontaneous Pneumothorax Recurrence Prevention
General type of surgical approach
Pneumothorax type Thoracoscopy (medical or surgical) Muscle sparing thoracotomy (axillary approach)
Primary Preferred management* (VG)† Indeterminate (G)
Secondary Preferred management (VG) Certain circumstances (G)
 
Lateral thoracotomy Median sternotomy
Acceptable rarely (VG) Inappropriate (P)
Acceptable rarely (G) Inappropriate (G)
*See Table 5Management Definitions.
†Levels of consensus (Table 4) appear in parentheses after option: P = perfect, VG = very good, G = good, SC = some consensus, NC = no consensus.

 

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