A total pleural covering of absorbable cellulose mesh prevents pneumothorax recurrence in patients with Birt-Hogg-Dubé syndrome

Orphanet Journal of Rare Diseases
Teruaki MizobuchiKuniaki Seyama

Abstract

Birt-Hogg-Dubé syndrome (BHDS) is a recently recognized inherited multiple cystic lung disease causing recurrent pneumothoraces. Similarly to the lesions in patients with lymphangioleiomyomatosis (LAM), the pulmonary cysts are innumerable and widely dispersed and cannot all be removed. We recently described a total pleural covering (TPC) that covers the entire visceral pleura with oxidized regenerated cellulose (ORC) mesh. TPC successfully prevented the recurrence of pneumothorax in LAM patients. The purpose of this study was to evaluate the effect of an ORC pleural covering on pneumothorax recurrence in BHDS patients. This retrospective study enrolled a total of 81 pneumothorax patients with the diagnosis of BHDS who underwent 90 covering surgeries from January 2010 to August 2017 at Tamagawa Hospital. During the first half of the study period, a lower pleural covering (LPC) which covered the affected area with ORC mesh was mainly used to treat 38 pneumothoraces. During the second half of the study period, TPC was primarily performed for 52 pneumothoraces. All the thoracoscopic surgeries were successfully performed without serious complications (≥ Clavien-Dindo grade III). The median follow-up periods after LPC/TPC were 66/34 ...Continue Reading

References

Dec 1, 1977·Archives of Dermatology·A R BirtW J Dubé
Sep 12, 1975·Archives of Dermatological Research·O P Hornstein, M Knickenberg
Feb 15, 2001·Chest·M H BaumannUNKNOWN AACP Pneumothorax Consensus Group
Dec 5, 2009·The Lancet Oncology·Fred H MenkoUNKNOWN European BHD Consortium
Mar 30, 2010·General Thoracic and Cardiovascular Surgery·Masatoshi KuriharaReina Endo
Aug 28, 2010·Thorax·Andrew MacDuffUNKNOWN BTS Pleural Disease Guideline Group
Dec 3, 2014·The Annals of Thoracic Surgery·Sungsoo LeeUNKNOWN Korean Pneumothorax Study Group
May 15, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Graeme L HickeyUNKNOWN EJCTS and ICVTS Editorial Committees
Mar 2, 2017·Annals of the American Thoracic Society·Nishant GuptaFrancis X McCormack

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Citations

Dec 13, 2019·General Thoracic and Cardiovascular Surgery·Eiichi KanaiTakashi Sakai
May 29, 2020·General Thoracic and Cardiovascular Surgery·Kenji TsuboshimaKuniaki Seyama
Sep 19, 2020·European Respiratory Review : an Official Journal of the European Respiratory Society·Cécile DaccordRomain Lazor

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