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Catamenial pneumothorax since introduction of video-assisted thoracoscopic surgery : A systematic review.
Wien Klin Wochenschr 2017; 129(19-20):717-726WK

Abstract

BACKGROUND

Catamenial pneumothorax is an uncommon form of spontaneous pneumothorax in women. The exact epidemiology and pathogenesis remain elusive. Video-assisted thoracoscopic surgery is used for diagnostic and therapeutic purposes.

OBJECTIVE

The aim of this review was to analyze the demographic features, intraoperative findings, treatment methods and outcome in catamenial pneumothorax patients. In addition, we assessed the relationship between catamenial pneumothorax and pelvic endometriosis.

SEARCH STRATEGY

A PubMed search of medical literature, published from January 1993 (video-assisted thoracoscopic surgery first described in literature) to January 2015, using the keywords "catamenial pneumothorax" was performed. Our study complied with the preferred reporting of items for systematic reviews and meta-analysis principles. A total of 182 patients were included in the analysis, including 4 patients treated at our institution.

SELECTION CRITERIA

The inclusion criteria of were recurrent (at least two) episodes of spontaneous pneumothorax in relation to onset of menses.

DATA SELECTION AND ANALYSIS

Age at time of diagnosis, side affected, diagnosis of pulmonary endometriosis, intraoperative findings, histological confirmation of thoracic endometriosis, methods of treatment and outcome were recorded.

MAIN RESULTS

In 2.9% of the patients no pathological lesions were found; however, 59.3% had endometrial implants and 57.0% diaphragmatic perforations. Pelvic endometriosis was reported in 39.5% patients. Patients with diagnosed pelvic endometriosis showed a significantly higher rate of endometrial implants and histologically confirmed endometriosis lesions than patients without pelvic endometriosis. In 26.9% of patients, recurrence was observed after treatment.

CONCLUSION

Video-assisted thoracoscopic surgery provides good diagnostic and therapeutic results; however, 25% of patients experienced recurrence despite adequate treatment. A strong association exists between thoracic and pelvic endometriosis in catamenial pneumothorax patients.

Authors+Show Affiliations

Division of Obstetrics and Gynecology, Department of Gynecology, University Medical Centre, Šlajmerjeva 3, Ljubljana, Slovenia. katjabricelj@gmail.com.Clinical Department of Thoracic Surgery, Surgical Clinic, University Medical Centre Ljubljana, Zaloška cesta 7, Ljubljana, Slovenia.Department of Surgery, General Hospital Izola, Polje 40, Izola, Slovenia.Institute of Radiology, University Medical Centre Ljubljana, Zaloska 7, Ljubljana, Slovenia.

Pub Type(s)

Journal Article
Meta-Analysis
Systematic Review

Language

eng

PubMed ID

28762057

Citation

Bricelj, Katja, et al. "Catamenial Pneumothorax Since Introduction of Video-assisted Thoracoscopic Surgery : a Systematic Review." Wiener Klinische Wochenschrift, vol. 129, no. 19-20, 2017, pp. 717-726.
Bricelj K, Srpčič M, Ražem A, et al. Catamenial pneumothorax since introduction of video-assisted thoracoscopic surgery : A systematic review. Wien Klin Wochenschr. 2017;129(19-20):717-726.
Bricelj, K., Srpčič, M., Ražem, A., & Snoj, Ž. (2017). Catamenial pneumothorax since introduction of video-assisted thoracoscopic surgery : A systematic review. Wiener Klinische Wochenschrift, 129(19-20), pp. 717-726. doi:10.1007/s00508-017-1237-4.
Bricelj K, et al. Catamenial Pneumothorax Since Introduction of Video-assisted Thoracoscopic Surgery : a Systematic Review. Wien Klin Wochenschr. 2017;129(19-20):717-726. PubMed PMID: 28762057.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Catamenial pneumothorax since introduction of video-assisted thoracoscopic surgery : A systematic review. AU - Bricelj,Katja, AU - Srpčič,Matevž, AU - Ražem,Anej, AU - Snoj,Žiga, Y1 - 2017/07/31/ PY - 2016/12/10/received PY - 2017/07/08/accepted PY - 2017/8/2/pubmed PY - 2019/2/13/medline PY - 2017/8/2/entrez KW - Catamenial pneumothorax KW - Pelvic endometriosis KW - Thoracic endometriosis KW - Video-assisted thoracoscopy SP - 717 EP - 726 JF - Wiener klinische Wochenschrift JO - Wien. Klin. Wochenschr. VL - 129 IS - 19-20 N2 - BACKGROUND: Catamenial pneumothorax is an uncommon form of spontaneous pneumothorax in women. The exact epidemiology and pathogenesis remain elusive. Video-assisted thoracoscopic surgery is used for diagnostic and therapeutic purposes. OBJECTIVE: The aim of this review was to analyze the demographic features, intraoperative findings, treatment methods and outcome in catamenial pneumothorax patients. In addition, we assessed the relationship between catamenial pneumothorax and pelvic endometriosis. SEARCH STRATEGY: A PubMed search of medical literature, published from January 1993 (video-assisted thoracoscopic surgery first described in literature) to January 2015, using the keywords "catamenial pneumothorax" was performed. Our study complied with the preferred reporting of items for systematic reviews and meta-analysis principles. A total of 182 patients were included in the analysis, including 4 patients treated at our institution. SELECTION CRITERIA: The inclusion criteria of were recurrent (at least two) episodes of spontaneous pneumothorax in relation to onset of menses. DATA SELECTION AND ANALYSIS: Age at time of diagnosis, side affected, diagnosis of pulmonary endometriosis, intraoperative findings, histological confirmation of thoracic endometriosis, methods of treatment and outcome were recorded. MAIN RESULTS: In 2.9% of the patients no pathological lesions were found; however, 59.3% had endometrial implants and 57.0% diaphragmatic perforations. Pelvic endometriosis was reported in 39.5% patients. Patients with diagnosed pelvic endometriosis showed a significantly higher rate of endometrial implants and histologically confirmed endometriosis lesions than patients without pelvic endometriosis. In 26.9% of patients, recurrence was observed after treatment. CONCLUSION: Video-assisted thoracoscopic surgery provides good diagnostic and therapeutic results; however, 25% of patients experienced recurrence despite adequate treatment. A strong association exists between thoracic and pelvic endometriosis in catamenial pneumothorax patients. SN - 1613-7671 UR - https://www.unboundmedicine.com/medline/citation/28762057/Catamenial_pneumothorax_since_introduction_of_video_assisted_thoracoscopic_surgery_:_A_systematic_review_ L2 - https://dx.doi.org/10.1007/s00508-017-1237-4 DB - PRIME DP - Unbound Medicine ER -