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Pneumothorax
Collapsed Lung — Diagnosis & Surgical Treatment, London

A pneumothorax — commonly called a collapsed lung — can be frightening and, without treatment, has a significant chance of happening again. I offer thorough investigation and keyhole surgery to treat pneumothorax and significantly reduce the risk of recurrence.

What is a
Pneumothorax?

A pneumothorax occurs when air leaks into the space between the lung and the chest wall, causing the lung to collapse partially or fully. It can occur spontaneously — most often in tall, slim young men — or as a result of an underlying lung condition, injury, or medical procedure.

Symptoms typically include sudden sharp chest pain and breathlessness. A small pneumothorax may resolve on its own, but larger ones require treatment to re-expand the lung. More importantly, without surgical treatment, a spontaneous pneumothorax has a recurrence rate of up to 50% — meaning half of patients will experience it again.

I offer keyhole (VATS) surgery to treat pneumothorax definitively — removing the small blebs or blisters on the lung surface that cause the air leak, and creating a controlled adhesion between the lung and chest wall to prevent recurrence. This is the most effective way to prevent a pneumothorax from happening again.

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Types of Pneumothorax
  • Primary spontaneous — no underlying lung disease; typically in young, tall, slim individuals
  • Secondary spontaneous — caused by underlying lung disease such as COPD or asthma
  • Traumatic — following chest injury or medical procedure
  • Tension pneumothorax — a medical emergency requiring immediate treatment
Symptoms to look out for
  • Sudden sharp chest pain, often one-sided
  • Breathlessness or difficulty breathing
  • Rapid heart rate
  • Dry cough
  • Feeling anxious or unwell
Keyhole Surgery — What to Expect

Surgery is performed under general anaesthesia through small keyhole incisions. The operation typically takes under an hour. Most patients spend a few days in hospital and return to normal activities within two to three weeks. Recurrence rates following surgery are significantly lower than with non-surgical management alone.

Questions About
Pneumothorax

Common questions from patients referred with a pneumothorax or collapsed lung. Please raise anything further at your consultation.

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Do I need surgery after a first pneumothorax?
Not necessarily. A first pneumothorax is often managed conservatively — with observation, aspiration, or a chest drain depending on its size. However, surgery is generally recommended after a second episode, or after a first episode in certain high-risk situations such as in pilots, divers, or patients with a very large pneumothorax. I will review your specific circumstances and advise clearly.
What does surgery for pneumothorax involve?
Surgery is performed by keyhole (VATS) technique under general anaesthesia. Through small incisions, I remove the small blebs or bullae on the lung surface responsible for the air leak, and then perform a pleurodesis — a procedure that causes the lung lining to adhere to the chest wall, significantly reducing the chance of a further collapse.
How long is recovery after pneumothorax surgery?
Most patients spend a few days in hospital following keyhole surgery. Return to desk-based work is typically possible within two to three weeks. More physical activity takes a little longer. I will give you clear guidance tailored to your job and lifestyle.
Can a pneumothorax come back after surgery?
Surgery significantly reduces the risk of recurrence compared to non-surgical treatment. While no procedure guarantees zero risk, keyhole surgery with pleurodesis is the most effective intervention currently available to prevent a further pneumothorax.
Do I need a GP referral?
No. Self-referrals are welcome for private consultations. Appointments are typically available within 2–3 days. If you have recently been discharged from hospital following a pneumothorax and would like a specialist review, you are very welcome to contact us directly.

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Appointments within 2–3 days. Self-referrals welcome. GP referral not required.

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Surgery at London Bridge Hospital and Lister Hospital Chelsea

020 7952 2882 · pa@lungsurgeon.co.uk

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