8600 Rockville Pike Was that the result of her progestin use? J Minim Invasive Gynecol. Careers. Thoracotomy / Pleurectomy - An incision is made on the side of the chest, between the ribs. Hysterectomy / Bilateral Salpingo-Oophorectomy - In some cases both ovaries are removed to limit estrogen production and suppress endometrial tissue by inducing surgical menopause (2, 16, 17). Since the first report appeared in literature in 1958 [1] , it has always been considered an unusual condition [2] . We conducted an electronic-based search using PubMed, EMBASE, Ovid MEDLINE, Google Scholar, and Cochrane Central Register of Controlled Trials. Additionally, in the absence of other treatment methods, chemical pleurodesis alone to treat CPT has a significant failure rate (2). Bleb resection and pleurodesis can also be performed during VATS (9). JSLS. Keywords: We excluded studies that did not contain cases with catamenial pneumothorax, case studies, and videos. Eighteen studies met our inclusion criteria and were selected, with a total of 490 patients. Hormonal therapy may also be used to treat women with catamenial pneumothorax, usually as an adjunct to surgical therapy. One reason for this is a difference in the use and meaning of the term "hysterectomy." Despite an increased interest in the medical community, the conditions remain under diagnosed (Alifano et al., 2006). This site needs JavaScript to work properly. Partial diaphragmatic resection and/or excision of visceral pleural implants, as well as talc pleurodesis, are sometimes carried out as part of treatment. 2002;69(3):275-276, (7) Jerilynn Prior, MD, The Centre for Menstrual Cycle and Ovulation Research (CeMCOR), (8) Personal communication with CPT patient on the Sottopelle program, (9) Catamenial pneumothorax- a prospective study. Nezhat C, Main J, Paka C, Nezhat A, Beygui RE. 2003;124:1004-1008, (10) Surgical treatment of catamenial pneumothorax: a single centre experience. She was treated for endometriosis using Danazol 800 mg daily for 6 months. Catamenial pneumothorax is recurrent spontaneous pneumothorax occurring within 72 hours of onset of menstruation. Holtorf K. Postgrad Med. Hormones are chemicals produced by glands of the endocrine system which travel through the bloodstream and interact with specific target cells. The incidence of catamenial pneumothorax has been underestimated for a few number of reasons. Leong AC, Coonar AS, Lang-Lazdunski L. Ann R Coll Surg Engl. A medium to large collapse may require manual aspiration or a chest tube. On the contrary, in 5 patients surgical pleurodesis was associated with the repair of diaphragmatic defects (simple closure or coverage by a polyglactin mesh): these patients experienced no recurrence (n = 0/5, p = 0.0016) and no subsequent catamenial chest pain. Gonadotrophin-releasing hormone (GnRH) for 6 to 12 months after the surgery is also often recommended. Literature shows that pleurodesis used as a singular treatment, (without other surgical repairs or hormonal therapy) has a high failure rate (10, 11). Pleural Abrasion (Mechanical Pleurodesis) - This type of pleurodesis involves abrading or "scrubbing" the pleural surfaces so that the resulting inflammation forms adhesions between the lung and chest wall, making it harder for the lung to collapse again if air should enter the pleural space. Catamenial pneumothorax: an original chest x-ray sign and thoracoscopic treatment. 2013 Jan-Feb;17(1):74-85, The Centre for Menstrual Cycle and Ovulation Research. From 1993 to 2008, ten women presented at our department with CP. Additionally, more gynecologists are recognizing the value of properly evaluating the underside of the diaphragm and removing endometrial lesions (15). Bethesda, MD 20894, Copyright Reprod Med Biol. Hormonal therapy temporarily improved outcome for 6 months in 2 patients. Partial diaphragmatic resection and/or excision of visceral pleural implants, as well as talc pleurodesis, are sometimes carried out as part of treatment. Nezhat Ce, Seidman DS, Nezhat F, Nezhat Ca. Rivas de Andres JJ, Jimenez Lopez MF, Lopez-Rodo LM, Perez Trullen A, Torres Lanzas J. J Arch Bronconeumol. Thoracoscopy / VATS - Video Assisted Thoracic Surgery - Accessed through small incisions, this procedure utilizes a fiber optic scope to visualize the lung, pleura and diaphragm, so that the surgeon can find endometrial implants or holes in the diaphragm, and repair them. Methods of study selection: Catamenial pneumothorax since introduction of video-assisted thoracoscopic surgery : A systematic review. On one extreme there are doctors who advocate high levels of bioidentical hormones in a cycling regimen with the goal of inducing a menopausal woman to start cycling again. These compounds are synthetic (man-made) drugs, whose chemical structure differs from hormones made in the body (29). Generally, suction and a water seal are applied, removing the air and causing the lung to re-expand. 2002 Jul 3;288(1):49-57, (20) Thoracic endometriosis: recurrence following hysterectomy with bilateral salpingo-oophorectomy and successful treatment with talc pleurodesis. However concomitant pelvic … Tulandi T, Sirois C, Sabban H, Cohen A, Murji A, Singh SS, Chen I, Belland L. J Minim Invasive Gynecol. These should be discussed with your doctor prior to use. Objectives: Diagnosis and Treatment of Catamenial Pneumothorax: A Report of a Single-Center Experience A B S T R A C T. Introduction: Catamenial pneumothorax (CP) is defined as spontaneous pneumothorax occurring within 72 hours before or after the onset of menstruation. A 42-year-old multiparous patient presented for consultation as a referral for management of recurrent catamenial pneumothorax. 2009 Sep-Oct;16(5):573-80, (16) Catamenial pneumothorax. They have usually never been pregnant and they usually have endometriosis. Retrospective review of the treatment of four women operated for CP in a recent 32-months period. Ann Thorac Surg. 2002 Sep;69(4):261-263, (22) Laparoscopic surgical management of diaphragmatic endometriosis. At thoracoscopy, the diaphragm presented several violet implants with holes. Another version of this involves connecting the catheter to a one-way valve allowing air to escape passively (Heimlich valve). Blebectomy or apical wedge pleurectomy has also been done.
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