Evidence map›Paper›PMID 32723348›Full record

ArticleJournal of cardiothoracic surgery2020

Recurrence of spontaneous pneumothorax six years after VATS pleurectomy: evidence for formation of neopleura.

Peter Germonpre, Elke Van Renterghem, Nicolas Dechamps, Thierry Onghena, Joke Van Aken

Abstract readCase Reports
In one paragraph

Article in Journal of cardiothoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Peter GermonpreCentre for Hyperbaric Oxygen Therapy, Military Hospital Brussels, 1120, Brussels, Belgium. pgermonpre@gmail.com.ORCID http://orcid.org/0000-0003-2481-7376
Elke Van RenterghemEmergency Department, St Lucas Hospital, Ghent, Belgium.
Nicolas DechampsLaerdal Medical Benelux, Vilvoorde, Belgium.
Thierry OnghenaThoracic Surgery Department, St Lucas Hospital, Ghent, Belgium.
Joke Van AkenPathology Department, St Lucas Hospital, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary Spontaneous Pneumothorax (PSP) is considered an absolute and definitive contraindication for scuba diving and professional flying, unless bilateral surgical pleurectomy is performed. Only then is there a sufficiently low risk of recurrence to allow a waiver for flying and/or diving. CASE PRESENTATION: A young fit male patient who suffered a PSP 6 years ago, and underwent an uncomplicated videoscopic surgical pleurectomy, presented with a complete collapse of the lung on the initial PSP side. Microscopic examination of biopsies showed a slightly inflamed tissue but otherwise normal mesothelial cells, compatible with newly formed pleura.

conclusionsEven with pleurectomy, in this patient, residual mesothelial cells seem to have had the capacity to create a completely new pleura and pleural space. The most appropriate surgical technique for prevention of PSP may still be debated.

Indexed as

AdultFollow-Up StudiesHumansMalePleuraPneumothoraxPostoperative ComplicationsRecurrenceReoperationThoracic Surgery, Video-AssistedTime FactorsPleural regenerationPleurectomyPrimary spontaneous PneumothoraxRecurrenceVATS

Identifiers

PMID32723348
PMCPMC7389453

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.