Hormonal manipulation after surgery for catamenial pneumothorax

Megan Garner, Garner M, Eltayeb Mohamed Ahmed, Ahmed E, Eltayeb Ahmed, Gatiss S, Sarah Gatiss, Douglas West, West D
Interactive cardiovascular and thoracic surgery · 2017 · vol. 26(2) , pp. 319–322 · doi:10.1093/icvts/ivx319 · PMID:29049784 · W2758488822
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Hormonal manipulation with gonadotrophin-releasing hormone analogues may reduce the recurrence of catamenial pneumothorax after surgery, according to seven retrospective observational studies.

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Abstract

A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was whether hormonal manipulation with gonadotrophin-releasing hormone analogues reduces the risk of recurrent catamenial pneumothorax after surgery, compared with surgery alone. Altogether 819 papers were found using the reported search, of which 7 represented the best evidence to answer the clinical question. The authors, date, journal, country of publication, study type, level of evidence, patient group studied, relevant outcomes and results of these papers are tabulated. Of the 7 papers selected, 6 demonstrated a reduction in recurrence of catamenial pneumothorax with the use of gonadotrophin-releasing hormone analogues, whereas in the single paper where surgery alone was performed, no evidence of recurrence was demonstrated. We therefore conclude that, based on very small retrospective observational studies, gonadotrophin-releasing hormone analogues used as an adjunct to surgical intervention may reduce the risk of recurrent pneumothorax, when compared with either no hormonal therapy or oestrogen-progesterone therapy, but should be initiated and supervised by gynaecologists who will be familiar with the therapy and the potential side effects.

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MeSH descriptors

Hormones Pneumothorax Secondary Prevention Thoracic Surgery, Video-Assisted Adult Female Hormones Humans Pneumothorax Pneumothorax Recurrence Retrospective Studies Secondary Prevention Thoracic Surgery, Video-Assisted

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