Document Detail


Treatment of primary spontaneous pneumothorax by videothoracoscopic talc pleurodesis under local anesthesia: a review of 133 procedures.
MedLine Citation:
PMID:  19789917     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To review our experience of treatment of primary spontaneous pneumothorax by videothoracoscopic talc pleurodesis. METHODS: From 2000 to 2008, 124 consecutive patients with primary spontaneous pneumothorax were operated; 105 were men (84.7%) and 19 were women (15.3%) with a mean age of 26.6 years (range 17-46 years). RESULTS: No mortality was recorded. Staging according to Vanderschueren's classification was as follows: stage I, 61 patients (45.9%); stage II, 39 patients (29.3%); stage III, 31 patients (23.3%); stage IV, two patients (1.5%). The overall rate of complications was 9% (12/133), corresponding to prolonged air leak in 9(6.7%) patients and hemothorax in 3(2.2%) patients. Four patients (3%) had recurrence requiring reoperation. There were no episodes of acute respiratory failure, pneumonia or subcutaneous emphysema following talc pleurodesis. CONCLUSIONS: Thoracoscopic pleural talc pleurodesis as a treatment for recurrent pneumothorax is easy, safe, and rapid, and causes minimal morbidity and mortality.
Authors:
R Ramos-Izquierdo; J Moya; I Macia; F Rivas; A Ureña; G Rosado; I Escobar; J Saumench; A Cabrera; M A Delgado; R Villalonga
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-09-30
Journal Detail:
Title:  Surgical endoscopy     Volume:  24     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-28     Completed Date:  2010-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  984-7     Citation Subset:  IM    
Affiliation:
Department of Thoracic Surgery and Unit of Human Anatomy and Embryology, Servei de Cirurgia Toràcica, Hospital Universitari de Bellvitge, School of Medicine, University of Barcelona, 08907 L'Hospitalet de Llobregat, Spain. ricardramos@ub.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anesthesia, Local / methods*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Pleurodesis / methods*
Pneumothorax / therapy*
Retrospective Studies
Talc / administration & dosage*
Thoracic Surgery, Video-Assisted / methods*
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
14807-96-6/Talc

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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