Evaluation and Management of Primary Spontaneous Pneumothorax in Adolescents and Young Adults: A Systematic Review From the APSA Outcomes & Evidence-Based Practice Committee

Systematic review by APSA examining optimal management strategies for primary spontaneous pneumothorax in adolescents and young adults. Key recommendations include symptom-guided initial management, early VATS with stapled blebectomy for persistent air leak within 24-48 hours, and no routine prophylactic contralateral intervention.