Is hormonal manipulation after surgical treatment of catamenial pneumothorax effective in reducing the rate of recurrence? A systematic review and meta-analysis

Elsayed, Hany; Hassaballa, Aly Sherif; Mostafa, Mohammed Hussein; ElGhanam, Mohammed; Hussein, Mohammed Khalid; Gumaa, Mohammed; Moharram, Assem Adel

doi:10.1016/j.ejogrb.2022.09.019

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Among these, GnRH agonists are believed to be more effective than hormone medications that preserve menstruation in controlling Catamenial Pneumothorax. However, due to their significant side effects, their treatment duration should not exceed 6 months 5 , 13 , 16 , 17 . Similarly, other hormonal medications can also be used for postoperative treatment of Catamenial Pneumothorax, but there is a lack of prospective cohort studies to analyze the comparative efficacy 11 , 18 .…”

Section: Discussionmentioning

confidence: 99%

Spontaneous recurrent menstrual pneumothorax: a case report

Hirono,

Feng,

Wang

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: Endometriosis is most commonly found in the pelvic area, approximately 12 percent of people have it in other areas or organs, which is known as extrapelvic endometriosis. Thoracic endometriosis, which is also classified as extrapelvic endometriosis, manifests with four distinct forms: catamenial pneumothorax, catamenial hemothorax, catamenial hemoptysis, or lung nodules. Catamenial pneumothorax is the most common clinical symptom of these; however, it is frequently neglected by clinicians and goes undiagnosed and untreated. As a result, it is critical to raise awareness of this medical condition among clinicians. Case presentation: We present a case report of a 34-year-old woman of reproductive age who had recurrent episodes of spontaneous pneumothorax during menstruation and underwent treatment with thoracoscopic surgery as well as gynecological hormonal drugs including oral progesterone and dienogest throughout this time. Based on her symptoms, a catamenial pneumothorax caused by thoracic endometriosis was suspected. Clinical discussion: The clinical symptoms, pathogenesis, diagnosis, and treatment of Catamenial Pneumothorax are analyzed. Furthermore, the usage of gynecological hormone medications in this condition has been discussed. The mechanisms of oral contraceptives and progestin-based medications are evaluated by comparing the patient’s treatment process, highlighting their pros and cons. Conclusions: Thoracoscopic surgery combined with postoperative gynecological hormonal medications may be the most effective treatment for this issue. Several gynecological hormonal medicines are available, each of which has its own set of pros and cons, and must be thoroughly evaluated as well as correctly tailored to the patient’s specific circumstances to have a positive therapeutic outcome.

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Section: Discussionmentioning

confidence: 99%

Spontaneous recurrent menstrual pneumothorax: a case report

Hirono,

Feng,

Wang

et al. 2023

Annals of Medicine &Amp; Surgery

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“…Соответственно и вопросы ведения пациенток с ТЭ после хирургического лечения КП или не нуждающихся в оперативном лечении остаются открытыми. Общепринятой тактики лечения нет [28,29]. Цель данного исследования -изучить роль в патогенезе ТЭ и НГЭ полиморфизма гена эндоте-лиальной синтазы окиси азота NOS3 в локусах 786 Т/С и 894 G/T, а также систематизировать собственные данные в отношении клинических проявлений, диагностики и лечения ТЭ.…”

Section: клинические исследованияunclassified

Clinical and Pathogenetic Aspects of Thoracic Endometriosis

Bezhenar,

Linde,

Krylova

et al. 2023

EPh

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Thoracic endometriosis is a rare pathology that significantly affects the quality of life of women. The pathogenesis of endometriosis continues to be intensively studied. One of the latest achievements in its study is the identification of oxidative stress as an active link in the development of a pathological condition. The nitric oxide molecule is a free radical and, as a result, an important component of oxidative processes. Violation of its metabolism makes a significant contribution to the occurrence of oxidative stress. The NOS3 endothelial synthase gene controls nitric oxide metabolism. We have studied the polymorphism of the NOS3 endothelial synthase gene at points 786 T/C and 894 G/T. The data obtained indicate the active participation of the NOS3 endothelial synthase gene at points 786 T/C and 894 G/T in the pathogenesis of various forms of endometriosis. The difficulties of diagnosing and treating this disease at the present stage are not least due to the fact that the problem of thoracic endometriosis is at the junction of the specialties of obstetrics-gynecology and thoracic surgery, which in other situations practically do not intersect. Our observations make it possible to consider thoracic endometriosis as a pathological process that is not associated with fertility and parity of patients. At the same time, thoracic endometriosis is most likely associated with genital endometriosis, which has a negative impact on fertility. The most common complaints of patients with thoracic endometriosis are pain and discomfort in the chest area associated with menstruation and dry cough. Histological verification of the disease is difficult. A promising method for preventing exacerbations of the disease is the combined prescription of аGnRG and dienogest.

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