What is thoracoscopic talc pleurodesis?
In conclusion, medical thoracoscopic talc pleurodesis is a palliative and effective treatment for malignant pleural effusion. In addition, postoperative simple negative pressure chest tube drainage significantly shortens the drainage time.
What is talc pleurodesis surgery?
Talc pleurodesis installs talc in the pleural space to intentionally cause inflammation and fibrosis – closing up the space between the lungs and the chest wall. During this procedure, a surgeon will typically spray a mixture of talc and saline through a tube into the chest area that surrounds the lungs.
What is a VATS talc pleurodesis?
VATS pleurodesis is a surgery that treats a buildup of air or extra fluid around your lungs.
Which talc delivery devices are used in the workup of pleuroscopy?
Various talc delivery devices are available, such as a spray atomizer, a bulb syringe, or a spray catheter introduced through the working channel of the flex–rigid pleuroscope. Uniform distribution of the talc on all pleural surfaces is confirmed by direct vision.
How much talc do you put on a pneumothorax?
Although an optimal dose of talc for poudrage has not been established, a dose of 5 g (4-8 g or 8-12 mL) of sterile talc is recommended. For pneumothorax cases, 2 to 3 g of talc is usually sufficient.
Is thoracoscopy a useful tool for the management of pleura?
Thoracoscopy is a valuable diagnostic and therapeutic tool with multiple implications in the management of the diseases of the pleura. Both MT and VATS carry acceptable safety profile with low mortality rates reported in the literature.
Is talc poudrage a good technique of pleurodesis?
Thoracoscopic talc poudrage is considered as the preferred technique of pleurodesis for all patients with good performance status for malignant effusions. 17 Talc poudrage is more frequently performed through the single port after removal of the thoracoscope and can be performed via a second port.