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https://www.readbyqxmd.com/read/27277376/a-case-of-massive-pleural-effusion-pleurodesis-by-bleomycin
#1
R Hasan, O S Khan, M Aftabuddin, A M Razzaque, G A Chowdhury
Malignant pleural effusion is a common complication of primary and metastatic pleural malignancies. Pleurodesis for the management of malignant pleural effusion is intended to achieve symphysis between parietal and visceral pleura, and to prevent relapse of pleural effusion. Many chemical agents are tried to induce inflammation and damage of the pleural mesothelial layer to achieve this symphysis. Hemorrhagic pleural effusion, especially in the right hemithorax commonly occurs as presentation of primary and metastatic pleural malignancies...
April 2016: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/25970953/epidemiological-evaluation-of-the-outcomes-after-video-assisted-thoracoscopic-talcage-in-neoplastic-pleurisy
#2
M Bosînceanu, C Sandu, C E Roată, Luminiţa Roxana Ionescu, L Miron
AIM: Clinical-epidemiological investigations for further assessing the importance of video-assisted thoracoscopy in the treatment y of patients with neoplastic pleurisy. MATERIALS AND METHODS: The researches included a group of 72 patients (31.9% men and 68.1% women aged 31-81 years, mean age ± 60 years) with neoplastic pleurisy who underwent pleural symphysis by video-assisted thoracoscopic talcage. For statistical-mathematical processing and interpretation the Pearson correlation index with the level of significance at p = 0...
January 2015: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
https://www.readbyqxmd.com/read/25880969/the-efficacy-of-indwelling-pleural-catheter-placement-versus-placement-plus-talc-sclerosant-in-patients-with-malignant-pleural-effusions-managed-exclusively-as-outpatients-ipc-plus-study-protocol-for-a-randomised-controlled-trial
#3
RANDOMIZED CONTROLLED TRIAL
Rahul Bhatnagar, Brennan C Kahan, Anna J Morley, Emma K Keenan, Robert F Miller, Najib M Rahman, Nick A Maskell
BACKGROUND: Malignant pleural effusions (MPEs) remain a common problem, with 40,000 new cases in the United Kingdom each year and up to 250,000 in the United States. Traditional management of MPE usually involves an inpatient stay with placement of a chest drain, followed by the instillation of a pleural sclerosing agent such as talc, which aims to minimise further fluid build-up. Despite a good success rate in studies, this approach can be expensive, time-consuming and inconvenient for patients...
2015: Trials
https://www.readbyqxmd.com/read/24947955/interventional-therapies-for-malignant-pleural-effusions-the-present-and-the-future
#4
REVIEW
Rajesh Thomas, Roslyn Francis, Helen E Davies, Y C Gary Lee
The approach to management of malignant pleural effusions (MPE) has changed over the past few decades. The key goals of MPE management are to relieve patient symptoms using the least invasive means and in the most cost-effective manner. There is now a realization that patient-reported outcome measures should be the primary goal of MPE treatment, and this now is the focus in most clinical trials. Efforts to minimize patient morbidity are complemented by development of less invasive treatments that have mostly replaced the more aggressive surgical approaches of the past...
August 2014: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://www.readbyqxmd.com/read/24811830/management-of-refractory-hepatic-hydrothorax
#5
REVIEW
José M Porcel
PURPOSE OF REVIEW: Treatment of hepatic hydrothorax is challenging because of its rapid symptomatic recurrence. This review will focus on potential therapeutic approaches to hepatic hydrothorax. RECENT FINDINGS: Hepatic hydrothorax is refractory to salt restriction and diuretics in approximately 25% of cases. Primary management options for these patients include serial thoracenteses, transjugular intrahepatic portosystemic shunt (TIPS) placement, and insertion of an indwelling pleural catheter (IPC)...
July 2014: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/24319853/video-assisted-thoracic-surgery-lobectomy-for-lung-cancer-in-ramathibodi-hospital
#6
Montien Ngodngamthaweesuk, Sukasom Attanawanich, Narumol Kijjanon
BACKGROUND: Although the public perceives video-assisted thoracic surgery (VATS) as advantageous because it is less invasive than a standard thoracotomy There are questioned the safety of VATS lobectomy and its adequacy as a cancer operation. This study is reviewed to assess this issue. MATERIAL AND METHOD: This retrospective study was performed between January 2009 and June 2011 in 58 patients who underwent VATS for a standard anatomic lobectomy with lymph node sampled or dissection for lung cancer 43 women (74%) and 15 men (26%) and mean age 60...
July 2013: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/24268613/chemical-pleurodesis-for-spontaneous-pneumothorax
#7
REVIEW
Cheng-Hung How, Hsao-Hsun Hsu, Jin-Shing Chen
Pneumothorax is defined as the presence of air in the pleural cavity. Spontaneous pneumothorax, occurring without antecedent traumatic or iatrogenic cause, is sub-divided into primary and secondary. The severity of pneumothorax could be varied from asymptomatic to hemodynamically compromised. Optimal management of this benign disease has been a matter of debate. In addition to evacuating air from the pleural space by simple aspiration or chest tube drainage, the management of spontaneous pneumothorax also focused on ceasing air leakage and preventing recurrences by surgical intervention or chemical pleurodesis...
December 2013: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/22901727/hepatic-hydrothorax-after-blunt-chest-trauma
#8
Shang-Chiung Wang, Chih-I Chen, Chen-Chi Liu, Chien-Ying Wang, Isaac Chun-Jen Chen, Mu-Shun Huang
We report a successful treatment result in a rare case of hepatitis C virus-related cirrhosis, who had sustained hydrothorax after blunt thoracoabdominal trauma. This was a female patient with liver cirrhosis, Child-Turcotte-Pugh class A, without ascites before injury. She sustained blunt thoracoabdominal trauma with a left clavicle fracture dislocation and right rib fractures. There was no hemopneumothorax at initial presentation. However, dyspnea and right pleural effusion developed gradually. We inserted a chest tube to relieve the patient's symptoms, and the daily drainage amount remained consistent...
August 2012: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/22482739/-results-of-video-assisted-thoracoscopic-sympathectomy-for-facial-blushing
#9
M A Callejas, R Grimalt, S Mejía, J M Peri
BACKGROUND: Involuntary craniofacial erythema, or blushing, due to autonomic dysfunction can be a cause of psychological distress. Although anecdotal reports have suggested that pharmacologic treatments or cognitive behavioral therapy can be used to treat the condition, no rigorous analyses of their efficacy have been reported. OBJECTIVES: To assess the efficacy of video-assisted thoracoscopic sympathectomy and to study phobic anxiety and other personality traits in a series of patients with involuntary facial blushing...
July 2012: Actas Dermo-sifiliográficas
https://www.readbyqxmd.com/read/21751119/suitable-device-for-thoracoscopic-talc-poudrage-in-malignant-pleural-effusion
#10
Andrea Billè, Piero Borasio, Mara Gisabella, Luca Errico, Robert Gatherer, Francesco Ardissone
Chemical pleurodesis is widely used in symptomatic patients with malignant pleural effusion to relieve symptoms, prevent fluid recurrence, and improve quality of life. Talc has been repeatedly found to be the most effective sclerosant agent, and thoracoscopic talc poudrage has been found to be the most effective pleurodesis technique. A homogeneous talc distribution on the visceral and parietal pleura helps to achieve complete pleural symphysis. We have recently adopted a new suitable sterile device that delivers talc under low and constant pressure, facilitating uniform coating of the whole pleural surface and avoiding inappropriate deposition of talc clumps...
July 2011: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/21616551/blockage-of-vascular-endothelial-growth-factor-vegf-reduces-experimental-pleurodesis
#11
Lisete R Teixeira, Francisco S Vargas, Milena M P Acencio, Sabrina C Ribeiro, Roberta K B Sales, Leila Antonangelo, Evaldo Marchi
BACKGROUND AND OBJECTIVE: Chemical pleurodesis controls recurrent malignant pleural effusion. The mechanism that determines pleural symphysis involves the action of vascular endothelial growth factor (VEGF). We assessed the influence of the anti-VEGF antibody (bevacizumab) on pleurodesis induced by talc or silver nitrate and analyzed the temporal development of pleural angiogenesis. METHODS: Sixty New Zealand rabbits received intrapleural injection (2mL) of talc (400mg/kg) or 0...
December 2011: Lung Cancer: Journal of the International Association for the Study of Lung Cancer
https://www.readbyqxmd.com/read/19717482/guidelines-of-the-european-respiratory-society-and-the-european-society-of-thoracic-surgeons-for-the-management-of-malignant-pleural-mesothelioma
#12
A Scherpereel, P Astoul, P Baas, T Berghmans, H Clayson, P de Vuyst, H Dienemann, F Galateau-Salle, C Hennequin, G Hillerdal, C Le Péchoux, L Mutti, J-C Pairon, R Stahel, P van Houtte, J van Meerbeeck, D Waller, W Weder
Malignant pleural mesothelioma (MPM) is a rare tumour but with increasing incidence and a poor prognosis. In 2008, the European Respiratory Society/European Society of Thoracic Surgeons Task Force brought together experts to propose practical and up-to-dated guidelines on the management of MPM. To obtain an earlier and reliable diagnosis of MPM, the experts recommend performing thoracoscopy, except in cases of pre-operative contraindication or pleural symphysis. The standard staining procedures are insufficient in approximately 10% of cases...
March 2010: European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology
https://www.readbyqxmd.com/read/18865487/the-use-of-oxidized-cellulose-in-pleural-symphysis
#13
J D MURPHY, J R McDANIEL
No abstract text is available yet for this article.
June 1948: Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/18455414/residual-apical-space-following-surgery-for-pneumothorax-increases-the-risk-of-recurrence
#14
Anne Gaunt, Antonio E Martin-Ucar, Lynda Beggs, David Beggs, Ed A Black, John P Duffy
OBJECTIVE: Residual air spaces on chest radiographs after pneumothorax surgery are not uncommon. We aimed to study their incidence and impact on surgical outcomes. METHODS: Four hundred and twenty-seven patients [283 men and 144 women with a median age of 31 (14-96) years] underwent surgery for pneumothorax from 1995 to 2005 in a single unit. Video-assisted thoracoscopy was used in 225 cases (53%). Outcomes were: duration of intercostal drainage and hospital stay, recurrence, re-operation and referral to chronic pain clinic...
July 2008: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/18437013/effects-of-additional-pleurodesis-with-dextrose-and-talc-dextrose-solution-after-video-assisted-thoracoscopic-procedures-for-primary-spontaneous-pneumothorax
#15
RANDOMIZED CONTROLLED TRIAL
Won Jae Chung, Won-Min Jo, Sung Ho Lee, Ho Sung Son, Kwang Taik Kim
Recurrence after thoracoscopic surgery for primary spontaneous pneumothorax is a lingering problem, and many intraoperative methods to induce pleural symphysis have been introduced. We analyzed the effects of chemical pleurodesis during thoracoscopic procedures. Between August 2003 and July 2005, 141 patients among indicated surgical treatment for primary spontaneous pneumothorax in two hospitals of our institution allowed this prospective study. The patients were randomly assigned to 3 groups: thoracoscopic procedure only (group A, n=50), thoracoscopic procedure and pleurodesis with dextrose solution (group B, n=49), and thoracoscopic procedure and pleurodesis with talc-dextrose mixed solution (group C, n=42)...
April 2008: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/17983758/identification-of-clinical-factors-predicting-pleurx-catheter-removal-in-patients-treated-for-malignant-pleural-effusion
#16
William H Warren, Anthony W Kim, Michael J Liptay
OBJECTIVE: The objective of the study was to review the clinical records of patients undergoing insertion of a Pleur(x) catheter in the management of malignant pleural effusions. In particular, clinical parameters were analyzed for their influence on catheter removeability. METHODS: Between January 1998 and July 2006, 263 patients underwent insertion of 295 Pleur(x) catheters for malignant pleural effusion(s). Patients were allocated to one of four groups based upon the site of the primary tumor: group 1 (breast), group 2 (lung), group 3 (gynecologic), and group 4 (all others)...
January 2008: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/17655861/patterns-effects-and-thoracic-volume-changes-of-thoracoscopic-pleurodesis-in-rabbits
#17
Jin-Shing Chen, Wern-Cherng Cheng, Huang-Chun Lien, Shu-Wei Wu, Hsao-Hsun Hsu, Sheng-Chung Lee, Yung-Chie Lee
BACKGROUND: The ideal thoracoscopic pleurodesis method for preventing recurrence of spontaneous pneumothorax remains controversial. This study was conducted to compare the patterns, effects, and thoracic volume changes achieved using a variety of thoracoscopic procedures in rabbits. MATERIALS AND METHODS: Thirty-six New Zealand White rabbits were randomly assigned to undergo the following thoracoscopic procedures in the left hemithorax: (a) parietal pleural abrasion; (b) minocycline instillation; (c) combination of abrasion and minocycline; or (d) examination alone...
June 1, 2008: Journal of Surgical Research
https://www.readbyqxmd.com/read/17541525/-treatment-of-pneumothorax
#18
REVIEW
M Klopp, H Dienemann, H Hoffmann
Pneumothorax is defined as air in the pleural space, i.e. between the lung and the chest wall. Primary pneumothoraces (PSP) arise in otherwise healthy people without any lung disease. Secondary pneumothoraces (SSP) arise in subjects with underlying lung disease. Observation alone is recommended only in patients with small primary or secondary pneumothoraces of less than 1 cm depth or isolated apical pneumothoraces in asymptomatic patients. In symptomatic patients observation alone is inappropriate and active intervention is required...
July 2007: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/17409900/intrapleural-urokinase-for-the-treatment-of-loculated-malignant-pleural-effusions-and-trapped-lungs-in-medically-inoperable-cancer-patients
#19
Li-Han Hsu, Thomas C Soong, An-Chen Feng, Mei-Ching Liu
BACKGROUND: Pleural fluid loculations or trapped lungs frequently render patients with symptomatic malignant pleural effusions (MPEs) unsuitable for pleurodesis. Thoracoscopic surgery or thoracotomy with decortication is generally not feasible for patients with a poor performance status. MPEs have augmented procoagulant and depressed fibrinolytic activity that contributes to fibrin deposition within the pleural space. The authors conducted an observational prospective cohort study to investigate the use of intrapleural urokinase (IPUK) for such patients and made a comparison with a historical control group...
June 2006: Journal of Thoracic Oncology
https://www.readbyqxmd.com/read/17113008/talc-poudrage-versus-talc-slurry-in-the-treatment-of-malignant-pleural-effusion-a-prospective-comparative-study
#20
COMPARATIVE STUDY
Alessandro Stefani, Pamela Natali, Christian Casali, Uliano Morandi
OBJECTIVE: The aim of this study was to investigate the effectiveness, safety and appropriate mode of administration of intrapleural talc for pleurodesis, in the treatment of malignant pleural effusion (MPE). METHODS: Prospective not randomized trial was conducted to compare thoracoscopic talc poudrage (TP) with tube thoracostomy and talc slurry (TS) for the local control of malignant pleural effusion. Both procedures were previously standardized; 6g of talc was administered for each procedure...
December 2006: European Journal of Cardio-thoracic Surgery
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