| Comparative study of talc poudrage versus pleural abrasion for the treatment of primary spontaneous pneumothorax. | |
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MedLine Citation:
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PMID: 22514256 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Primary spontaneous pneumothorax is a pathology mainly affecting healthy young patients. Clinical guidelines do not specify the type of pleurodesis that should be conducted, due to the lack of comparative studies on the different techniques. The aim of this study was to compare talc poudrage and pleural abrasion in the treatment of spontaneous pneumothorax. A retrospective comparative study was performed, including 787 patients with primary spontaneous pneumothorax. The 787 patients were classified into two groups: Group A (pleural abrasion) n = 399 and Group B (talc pleurodesis) n = 388. The variables studied were recurrence, surgical time, morbidity and in-hospital length of stay. Statistical analysis was done by an unpaired t-test and Fisher's exact test (SSPS 18.0). Statistically significant differences were observed in the variables: surgical time (A: 46 ± 12.3; B: 37 ± 11.8 min; P < 0.001); length of stay (A: 4.7 ± 2.5; B: 4.3 ± 1.8 days; P = 0.01); apical air camera (A: 25; B: 4; P < 0.001); pleural effusion (A: 6; B: 0; P = 0.05). Talc poudrage shows shorter surgical times and length of stay, and lower re-intervention rates. Morbidity is lower in patients with talc poudrage. Statistically significant differences were not observed in recurrence, persistent air leaks, atelectasis and haemothorax. |
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Authors:
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Sergio Moreno-Merino; Miguel Congregado; Gregorio Gallardo; Rafael Jimenez-Merchan; Ana Trivino; Fernando Cozar; Marta Lopez-Porras; Jesus Loscertales |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2012-04-18 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 15 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2012 Jul |
Date Detail:
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Created Date: 2012-06-22 Completed Date: 2012-10-29 Revised Date: 2013-04-16 |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 81-5 Citation Subset: IM |
Affiliation:
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Department of General Thoracic Surgery, Virgen Macarena University Hospital, Seville, Spain. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Length of Stay Male Pleurodesis / adverse effects, methods* Pneumothorax / therapy* Recurrence Retrospective Studies Risk Assessment Risk Factors Spain Surgical Sponges* Talc / administration & dosage*, adverse effects Thoracic Surgery, Video-Assisted Time Factors Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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14807-96-6/Talc |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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