Don’t intubate women with pneumothorax. Surgery with music and muse

Vasyl Tkalich, Valentyna Borysova, Yurii Nedilia, Volodymyr Lianskorunskyi
In: Journal of Education, Health and Sport · 2020 · vol. 10(7) , pp. 330–342 · doi:10.12775/jehs.2020.10.07.035 · W3126629711
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study evaluated non-intubated video-assisted thoracic surgery for spontaneous pneumothorax in 10 women, finding it a feasible and safe treatment with no recurrences over a 6-month follow-up.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This retrospective study evaluated clinical features, treatment effects, and recurrence rates in 10 women with spontaneous pneumothorax treated at a single institution, including 4 with catamenial pneumothorax. All underwent surgical management, with partial lung resection in all patients and partial diaphragm resection plus mesh diaphragm augmentation in four (both resections in four), using non-intubated video-assisted thoracic surgery. Pathology confirmed endometriosis in only four patients, and across a 6-month observation period no recurrences were observed, with surgeries occurring at the first, second, or fifth pneumothorax episode. The authors note the need for prolonged follow-up and further clinical investigations; the study’s small sample size and limited follow-up constrain conclusions about long-term comparative benefit. Relevance to endometriosis: the paper specifically studies catamenial pneumothorax and reports diaphragm surgery with mesh augmentation and pathological diagnosis of endometriosis in a subset, while discussing pneumothorax related to thoracic endometriosis as part of its rationale.

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Abstract

Background: Treatment of women with spontaneous pneumothorax is challenging and multidisciplinary. We performed a retrospective analysis of 10 females with spontaneous pneumothorax to determine the clinical features as well as the effects of treatment and recurrence rates. Our goal was to report that non-intubated video-assisted thoracic surgery is feasible and safe treatment of pneumothorax in women.Methods: A retrospective review was conducted of the clinical and pathologic data in all 10 patients undergoing treatment at our institution. 4 patients undervent treatment for catamenial pneumothorax. All 10 patients underwent surgical treatment.Results: The median age was 33 years. The laterality of the pneumothorax was right in 7, left in 3 patients. All patients underwent surgical treatment. Partial resection of the lung was performed in 10 patients and partial resection of the diaphragm with mesh diaphragm augmentation in four. Of these, both resections were performed in four patients. A pathological diagnosis of endometriosis was achieved in only four patients. The observation period was 6 months. No recurrences were observed. 8 patients were operated in the 1st, 1 in the 2nd, 1 in the 5th episode of pneumothorax. All patients were transferred to the ward 30 minutes and oral food intake was permitted 1 h after surgery.Conclusions: non-intubated video-assisted thoracic surgery with mesh diaphragm augmentation, atypical lung resection and pleural abrasion could be considered a feasible, safe and effective method of treatment of catamenial pneumothorax. Prolonged follow-up and further clinical investigations are required to confirm the advantages of the proposed approach.
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Background

Treatment of women with spontaneous pneumothorax is challenging and multidisciplinary. We performed a retrospective analysis of 10 females with spontaneous pneumothorax to determine the clinical features as well as the effects of treatment and recurrence rates. Our goal was to report that non-intubated video-assisted thoracic surgery is feasible and safe treatment of pneumothorax in women.

Methods

A retrospective review was conducted of the clinical and pathologic data in all 10 patients undergoing treatment at our institution. 4 patients undervent treatment for catamenial pneumothorax. All 10 patients underwent surgical treatment.Results: The median age was 33 years. The laterality of the pneumothorax was right in 7, left in 3 patients. All patients underwent surgical treatment. Partial resection of the lung was performed in 10 patients and partial resection of the diaphragm with mesh diaphragm augmentation in four. Of these, both resections were performed in four patients. A pathological diagnosis of endometriosis was achieved in only four patients. The observation period was 6 months. No recurrences were observed. 8 patients were operated in the 1st, 1 in the 2nd, 1 in the 5th episode of pneumothorax. All patients were transferred to the ward 30 minutes and oral food intake was permitted 1 h after surgery.Conclusions: non-intubated video-assisted thoracic surgery with mesh diaphragm augmentation, atypical lung resection and pleural abrasion could be considered a feasible, safe and effective method of treatment of catamenial pneumothorax. Prolonged follow-up and further clinical investigations are required to confirm the advantages of the proposed approach.

References

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Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J ClinOncol2009;27:2553-62. Left-Sided Catamenial Pneumothorax with Thoracic Endometriosis and Bullae in the Alveolar Wall Ryo Takahashi, Masatoshi Kurihara, TeruakiMizobuchi, Hiroki Ebana, Sumitaka Yamanaka, Ann ThoracCardiovascSurg 2017; 23: 108–112 Downloads Published How to Cite Issue Section License The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Stats Number of views and downloads: 1023 Number of citations: 0

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