Title

Conservative management of spontaneous pneumothorax: A review of evidence and guidelines

Authors

Yagnang K. Vyas^1,*, Jaimin Mansuriya¹, Krishnakumar Ashokbhai Patel¹, Yash Bharatkumar Jani² & Anushika³

Affiliation

¹Department of Respiratory Medicine, Dharmsinh Desai University College Road, Nadiad - 387001, Gujarat, India; ²Department of Emergency Medicine Dr. N.D. Desai Faculty of Medical Science & Research, Dharmsinh Desai University College Road, Nadiad - 387001, Gujarat, India; ³Department of Psychiatry Dr. N.D. Desai Faculty of Medical Science & Research, Dharmsinh Desai University College Road, Nadiad - 387001, Gujarat, India; *Corresponding author

Email

Yagnang K. Vyas - E - mail: yagnang@gmail.com; Phone: +91 8511105140,
Jaimin Mansuriya - E - mail: jamsm003@gmail.com; Phone: +91 9711132299
Krishnakumar Ashokbhai Patel - E - mail: drkrishnapatel.csmu@gmail.com; Phone: +91 9104343165
Yash Bharatkumar Jani - E - mail: yashjani0079@outlook.com; Phone: +91 9510618177
Anushika - E - mail: anushika20999@gmail.com; Phone: +91 7018768232

Article Type

Review

Date

Received March 1, 2025; Revised March 31, 2025; Accepted March 31, 2025, Published March 31, 2025

Abstract

The role of conservative management in spontaneous pneumothorax, an increasingly recognized alternative to invasive procedures is of interest. Recent evidence suggests that observation, oxygen therapy and symptom-based care provide comparable outcomes to invasive methods in stable primary spontaneous pneumothorax. Conservative strategies are associated with reduced complications, shorter hospital stays and improved patient satisfaction. However, controversies exist regarding secondary spontaneous pneumothorax, recurrence risks and the need for standardized guidelines. Further research is needed to optimize conservative approaches and integrate emerging technologies into patient care.

Keywords

Spontaneous pneumothorax, primary spontaneous pneumothorax, secondary spontaneous pneumothorax, conservative management, recurrence rates; complications, cost-effectiveness, biomarkers, artificial intelligence, video-assisted thoracoscopic Surgery, pleurodesis, ultrasound, global guidelines.

Citation

Vyas et al. Bioinformation 21(3): 471-484 (2025)

Edited by

Neelam Goyal & Shruti Dabi

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.