{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T02:20:19Z","timestamp":1782440419456,"version":"3.54.5"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2019,8,23]],"date-time":"2019-08-23T00:00:00Z","timestamp":1566518400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was whether treatment with hormones or pleural symphysis is better than operative procedures such as diaphragmatic repair with mesh to surgically manage recurrent pneumothoraces in patients with catamenial pneumothorax. Diaphragmatic repair with synthetic meshes, hormonal treatment and pleural symphysis are all accepted interventions for the treatment of recurrent catamenial pneumothoraces; however, there is uncertainty over the best combination of treatment. Altogether, 396 papers were found using the reported search, of which 13 represented the best evidence to answer the clinical question. However, it should be noted that the studies included were small in terms of sample size, and have demonstrated significant bias and surgical heterogeneity. Our literature review found that the recurrence rates of pneumothorax were greatly reduced in the treatment group where surgery and hormone therapy were combined (pooled average recurrence rate of 0%); however, the recurrence rates were significantly higher when these interventions were used alone: hormone therapy alone (58.5%), diaphragmatic repair alone (33.3%) and surgery alone (63.3%). Our results therefore demonstrate that a multimodality approach is required to reduce pneumothorax recurrence rates in patients with catamenial pneumothorax.<\/jats:p>","DOI":"10.1093\/icvts\/ivz205","type":"journal-article","created":{"date-parts":[[2019,7,26]],"date-time":"2019-07-26T15:09:34Z","timestamp":1564153774000},"page":"906-910","source":"Crossref","is-referenced-by-count":15,"title":["Should surgical treatment of catamenial pneumothorax include diaphragmatic repair?"],"prefix":"10.1093","volume":"29","author":[{"given":"Suraj","family":"Pathak","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Glenfield Hospital, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0257-7618","authenticated-orcid":false,"given":"Edward","family":"Caruana","sequence":"additional","affiliation":[{"name":"Department of Thoracic surgery, Nottingham City Hospital, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiyaz","family":"Chowdhry","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Glenfield Hospital, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,8,22]]},"reference":[{"key":"2019112510404491100_ivz205-B1","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/S1569-9293(03)00191-9","article-title":"Towards evidence-based medicine in cardiothoracic surgery: best BETS","volume":"2","author":"Dunning","year":"2003","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2019112510404491100_ivz205-B2","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/S0003-4975(02)04320-5","article-title":"Catamenial pneumothorax: retrospective study of surgical treatment","volume":"75","author":"Bagan","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"2019112510404491100_ivz205-B3","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1308\/003588406X130732","article-title":"Catamenial pneumothorax: surgical repair of the diaphragm and hormone treatment","volume":"88","author":"Leong","year":"2006","journal-title":"Ann R Coll Surg Engl"},{"key":"2019112510404491100_ivz205-B4","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/S1015-9584(11)60007-9","article-title":"Surgical treatment of catamenial pneumothorax","volume":"33","author":"Muramatsu","year":"2010","journal-title":"Asian J Surg"},{"key":"2019112510404491100_ivz205-B5","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1510\/icvts.2008.190975","article-title":"Surgical treatment of catamenial pneumothorax: a single centre experience","volume":"8","author":"Ciriaco","year":"2009","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2019112510404491100_ivz205-B6","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.asjsur.2013.09.014","article-title":"Surgical treatment of catamenial pneumothorax: report of three cases","volume":"38","author":"Ichiki","year":"2015","journal-title":"Asian J Surg"},{"key":"2019112510404491100_ivz205-B7","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1093\/ejcts\/ezs101","article-title":"An effective method of pleurodesis involving absorbable mesh for repetitive catamenial pneumothorax","volume":"42","author":"Ikeda","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"key":"2019112510404491100_ivz205-B8","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1016\/j.ejcts.2004.12.047","article-title":"Catamenial pneumothorax: optimal hormonal and surgical management","volume":"27","author":"Marshall","year":"2005","journal-title":"Eur J Cardiothorac Surg"},{"key":"2019112510404491100_ivz205-B9","doi-asserted-by":"crossref","first-page":"4801.","DOI":"10.21037\/jtd.2018.07.39","article-title":"Nine cases of catamenial pneumothorax: a report of a single-center experience","volume":"10","author":"Furuta","year":"2018","journal-title":"J Thorac Dis"},{"key":"2019112510404491100_ivz205-B10","first-page":"17","article-title":"Catamenial pneumothorax: a rare entity? Report of 5 cases and review of the literature","volume":"4","author":"Visouli","year":"2012","journal-title":"J Thorac Dis"},{"key":"2019112510404491100_ivz205-B11","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ejogrb.2014.03.026","article-title":"Management of thoracic endometriosis: single institution experience","volume":"178","author":"Duyos","year":"2014","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2019112510404491100_ivz205-B12","doi-asserted-by":"crossref","first-page":"66.","DOI":"10.1186\/s13019-016-0462-7","article-title":"Hormonal therapy after the operation for catamenial pneumothorax\u2014is it always necessary?","volume":"11","author":"Subotic","year":"2016","journal-title":"J Cardiothorac Surg"},{"key":"2019112510404491100_ivz205-B13","doi-asserted-by":"crossref","first-page":"223","DOI":"10.5468\/ogs.2015.58.3.223","article-title":"Clinical features of thoracic endometriosis: a single centre analysis","volume":"58","author":"Hwang","year":"2015","journal-title":"Obstet Gynecol Sci"},{"key":"2019112510404491100_ivz205-B14","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1378\/chest.12-1558","article-title":"Videothoracoscopic repair of diaphragm and pleurectomy\/abrasion in patients with catamenial pneumothorax: a 9-year experience","volume":"143","author":"Attaran","year":"2013","journal-title":"Chest"},{"key":"2019112510404491100_ivz205-B15","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1093\/icvts\/ivx319","article-title":"Hormonal manipulation after surgery for catamenial pneumothorax","volume":"26","author":"Garner","year":"2018","journal-title":"Interact CardioVasc Thorac Surg"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/icvts\/article-pdf\/29\/6\/906\/31117781\/ivz205.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/icvts\/article-pdf\/29\/6\/906\/31117781\/ivz205.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,25]],"date-time":"2019-11-25T10:43:19Z","timestamp":1574678599000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/29\/6\/906\/5553733"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,22]]},"references-count":15,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2019,8,22]]},"published-print":{"date-parts":[[2019,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivz205","relation":{},"ISSN":["1569-9285"],"issn-type":[{"value":"1569-9285","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,12]]},"published":{"date-parts":[[2019,8,22]]}}}