Surgical treatment of XXXX .

@entity1 @entity4964 @entity6886
OBJECTIVE: To discuss the aetiology and determine the optimal surgical treatment of @entity4964 . METHODS: Between January 1980 and December 2007, 17 @entity1 with @entity4964 were treated at our institution. Regarding the surgical approach, thoracotomy was performed until 1991, and thoracoscopic surgery was performed from 1992 onward. RESULTS: Pneumothorax was on the right side in all but two @entity1 . Surgery was performed on 15 of the 17 @entity1 . The surgical procedure was a diaphragm resection plus a partial bleb resection in eight @entity1 , a diaphragm resection in two @entity1 , a diaphragm resection plus an absorbable @entity6886 sheet in four @entity1 , and a partial bleb resection in one @entity1 . Five @entity1 demonstrated a postoperative recurrence (33.0%). However, no recurrence has been observed thus far in the four @entity1 with an absorbable polyglycolic sheet placed on the diaphragmatic surface. CONCLUSION: Although the postoperative recurrence rate of @entity1 undergoing surgical procedures remains high, there were some @entity1 with no postoperative recurrence. Placement of an absorbable sheet on the diaphragmatic surface may therefore prevent recurrence of @entity4964 .
