Suitable device for thoracoscopic talc poudrage in malignant pleural effusion

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 m...

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Bibliographic Details
Published inGeneral thoracic and cardiovascular surgery Vol. 59; no. 7; pp. 522 - 524
Main Authors Billè, Andrea, Borasio, Piero, Gisabella, Mara, Errico, Luca, Gatherer, Robert, Ardissone, Francesco
Format Journal Article
LanguageEnglish
Published Japan Springer Japan 01.07.2011
Springer Nature B.V
Subjects
Cardiac Surgery
Cardiology
Equipment Design
Female
How to Do It
Humans
Male
Medicine
Medicine & Public Health
Pleural Effusion, Malignant - therapy
Pleurodesis - adverse effects
Pleurodesis - instrumentation
Prospective Studies
Surgical Oncology
Talc - administration & dosage
Thoracic Surgery
Thoracic Surgery, Video-Assisted - adverse effects
Thoracic Surgery, Video-Assisted - instrumentation
Thoracoscopes
Treatment Outcome
Pleural effusion
Pleural space
Thoracoscopy/video-assisted thoracoscopic surgery (VATS)
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Summary: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.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-010-0746-0