Talc pleurodesis using rigid thoracoscope

Novel approach for talc pleurodesis by dedicated catheter through flexi-rigid thoracoscope under local anesthesia.

For pleurodesis, talc administered by poudrage is usually insufflated blindly from a single port of entry using the standard method with a small-diameter rigid thoracoscope. In order to visually perform talc poudrage from a single port, we introduced a catheter technique through a flexi-rigid thoracoscope. Patients with uncontrolled and symptomatic pleural effusion requiring pleurodesis underwe...

Sterilization of Talc for Pleurodesis *

Although talc has been used as a pleurodesis agent since 1935, a sterilization protocol has not been established. We obtained USP asbestos-free talc from six different suppliers and sterilized each using dry heat, gamma irradiation, and ethylene oxide gas. Aerobic, anaerobic, and fungal cultures were obtained prior to sterilization, and 1, 30, and 90 days after sterilization. Bacillus species w...

Successful Treatment of Postoperative Chylothorax Using Bedside Talc Slurry Pleurodesis

Postoperative chylothorax remains an uncommon but potentially life-threatening complication of various intrathoracic procedures, and the ideal management of this condition is still controversial. We report the treatment of four patients with chylothorax after thoracic surgical procedures during the year of 2010 and 2011. Instead of surgical intervention, their management had succeeded in bedsid...

Treatment of Chylothorax by Producing Pleurodesis Using Iodized Talc.

Bilateral talc pleurodesis in metastatic pneumothorax.

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