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Pleurodesis is a medical procedure in which part of the pleural space is artificially obliterated. [1] It involves the adhesion of the visceral and the costal pleura ...
The mortality of surgery is less than 1% overall, but rises to 4-6% in the elderly. Other factors predicting poorer surgical outcomes include intraoperative complications, incomplete surgery, lung disease beyond the fibrothorax being treated, and specific causes of fibrothorax such as asbestosis. [10]
Pleurodesis is the obliteration of the pleural space, achieved by adhering the visceral pleura on the lung surface to the costal pleura of the chest wall. Adhesion is caused by inflammation and subsequent scarring of the pleural layers. Inflammation may be induced by either physical or chemical irritation.
VATS may also be used to achieve chemical pleurodesis; this involves insufflation of talc, which activates an inflammatory reaction that causes the lung to adhere to the chest wall. [ 12 ] [ 15 ] If a chest tube is already in place, various agents may be instilled through the tube to achieve chemical pleurodesis , such as talc, tetracycline ...
Pleural tumors may be benign (i.e. solitary fibrous tumor) or malignant in nature. Pleural mesothelioma is a type of malignant cancer associated with asbestos exposure. Under most other circumstances, pleural cancers are secondary malignancies associated with lung cancer due to its nearby location or as metastasis such as with breast cancer.
Jessica DeCristofaro was diagnosed with stage 4B Hodgkin’s lymphoma, a rare form of cancer, at 28 years old. Here, she shares her story and what doctors missed.
Pleural treatments generally have a high complication rate; [9] in a case study, those receiving IPC had greater complication rates despite undergoing significantly less procedures. [6] As a last resort, pleurodesis can be used for people without ascites; by irritating the pleura together, it can repair any defects in the diaphragm.
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