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Doctor insights on: Pleurodesis

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Dr. Loki Skylizard
151 Doctors shared insights

Pleurodesis (Overview)

The lining of the lung and chest wall is called the pleura. Normally the lung pleura stays in contact with the chest pleura. Sometimes they can become separated with either air or fluid. One option in treatment is to cause an inflammatory reaction so that the lung and chest wall pleura stick together. This essentially gets rid of the space so that the lung sticks to the chest wall.


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What is pleurodesis done for?

What is pleurodesis done for?

Help breath: Pleurodesis is used to prevent recurrence of air (pneumothorax) or fluid (effusion) in chest cavity. When pneumothorax or effusion occur, they occupy space where lung should be. This prevents the lung from fully expanding. Pleurodesis is used to improve /maintain lung expansion, and maintain breathing. Modern thoracic surgeons will use vats (minimally invasive techniques).

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Dr. Loki Skylizard
151 Doctors shared insights

Pleurodesis (Overview)

The lining of the lung and chest wall is called the pleura. Normally the lung pleura stays in contact with the chest pleura. Sometimes they can become separated with either air or fluid. One option in treatment is to cause an inflammatory reaction so that the lung and chest wall pleura stick together. This essentially gets rid of the space so that the lung sticks to the chest wall.


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Please tell me about pleurodesis?

Please tell me about pleurodesis?

Help breath: Pleurodesis is surgery performed to prevent recurrence of air (pneumothorax) or fluid (effusion) in chest cavity. When pneumothorax or effusion occur, they occupy space where lung should be. This prevents the lung from fully expanding. Pleurodesis is used to improve /maintain lung expansion, and maintain breathing. Modern thoracic surgeons will use vats (minimally invasive techniques).

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What are the effects of pleurodesis?

What are the effects of pleurodesis?

Resolving a problem: A pleurodesis eliminates the space between the surface of the lung and the inside of the chest wall. This is usually done for fluid accumulation, or a persistent air leak. It can be done with chemicals or by directly irritating the inside chest wall. Overall, it is a very successful technique.

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Please tell me about pneumothrax, pleurodesis?

Please tell me about pneumothrax, pleurodesis?

Depends cause: Depending cause of pneumothorax.... Spontaneous pneumothorax first recurrence rates depending on type ranges 20-40+%. These details as well as lifestyle, may encourage recommend investigation and possibly vats pleurodesis to prevent/decrease risk of further recurrence.

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What is the definition or description of: pleurodesis?

What is the definition or description of: pleurodesis?

A surgical procedure: The lining of the lung and chest wall is called the pleura. Normally the lung pleura stays in contact with the chest pleura. Sometimes they can become separated with either air or fluid. One option in treatment is to cause an inflammatory reaction so that the lung and chest wall pleura stick together. This essentially gets rid of the space so that the lung sticks to the chest wall.

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Tell me about vats pleurodesis?

Tell me about vats pleurodesis?

Causes lung to stick: The goal of video-assisted thoracic surgery or vats pleurodesis is to create an inflammatory response that causes the lung to stick to the chest wall. This can be done through chemical means such as sterile talcum powder, or through mechanical means. Indications are for persistent air in the pleural space; pneumothorax or persistent fluid. Pleurodesis prevents the lung from collapsing.

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Is it common to cough after pleurodesis?

Is it common to cough after pleurodesis?

Yes: The irritation cause by the sclerosing agent, which is responsible for the obliteration of the space between the lung and chest wall, and may be associated with cough. This usually resolves in a few days.

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Is pleurodesis for recurrent pleural effussion the best rx?

Is pleurodesis for recurrent pleural effussion the best rx?

Sometimes: It can be effective, for large, recurrent and otherwise unresolvable effusions. Malignant with talc. Some others with other agents or mechanical with vats surgical.

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What is the recovery time and success rate of mechanical pleurodesis surgery?

What is the recovery time and success rate of mechanical pleurodesis surgery?

95+%: Probably 2-3 mo. Till you can fly commercial or go >8000 ft. In the mountains Every Surgeon has his opinion so ask yours

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Sir, he was admitted in the hosfor a month, he was discharged last week, after pleurodesis, approx 150ml of fluid is still coming out in the pouch?

Sir, he was admitted in the hosfor a month, he was discharged last week, after pleurodesis, approx 150ml of fluid is still coming out in the pouch?

Unclear: If pleuradesis was performed, success will be dependent on full expansion of lung with apposition of lung to chest wall. Pleuradesis does not usually have a drainage "pouch". We can not be sure, but you may be describing a pluerex catheter drainage type system.

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Does a talc pleurodesis iinhibit breathing?

Just the: Reverse. It's used to prevent pleural fluid from recurring in a malignant pleural effusion.

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Can any body tel me where do I get treatment for pleurodesis?

Can any body tel me where do I get treatment for pleurodesis?

Thoracic surgeon: Patients that may potentially benefit from pleuradesis should be referred to a trained thoracic surgeon skilled in minimally invasive thoracic surgery techniques. Most pleuradesis should be done minimally invasively (vats).

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Pneumothorax and pleurodesis - how often is pleurodesis needed?

Pneumothorax and pleurodesis - how often is pleurodesis needed?

Depends: Depends on your individual pathology. Pleurodesis is considered if you have recurrent disease. As thoracoscopy gains popularity and is a minimally invasive targeted treatment, some surgeons prefer early thoracoscopy. Pleurodesis may not work for some pneumothorax and staple excision is needed for some pathology.

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Where would circulation of fluids go after pleurodesis surgery?

Where would circulation of fluids go after pleurodesis surgery?

Stay in circulation: Fluid in chest cavity in the form of effusion is abnormal. By eliminating the ability/ease of the fluid to abnormally accumulate in the thoracic space, pleuradesis keeps the fluid in normal circulation. In some situations, after pleuradesis of one side, the fluid will accumulate in the opposite side of the chest. This will necessitate pleuradesis on the otherside too.

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Sir, he is not able to eat anything, and is getting weak day by day after pleurodesis on 15th feb 2013, what should we do?

Sir, he is not able to eat anything, and is getting weak day by day after pleurodesis on 15th feb 2013, what should we do?

Unclear: Pleuradesis is often done for malignant effusions. This is predominately a palliative treatment. The lack of appetite, weakness, and/or weight loss would not be treated or result from pleuradesis. If this was a palliative treatment for cancer, the symptoms described are unfortunately attributable to cancer. I encourage you/he/family to speak with his medical team.

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Had a bi-lateral pneumothorax 15 years ago at 31.Had the pleurodesis op done. Been on 3 hours flights before. Is there a danger on long haul flights?

Had a bi-lateral pneumothorax 15 years ago at 31.Had the pleurodesis op done. Been on 3 hours flights before. Is there a danger on long haul flights?

You should be ok: Spontaneous pneumothorax occurs when a congenital bleb ruptures, leaking air into the space (pleural cavity) between the lung and rib cage. Pleurodesis is a procedure in which the pleural space is artificially obliterated by inducing adhesion formation between the lung lining and the rib cage lining. There is no evidence that air travel precipitates recurrence of a pneumothorax.

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Is it safe to smoke after vats pleurodesis?

Is it safe to smoke after vats pleurodesis?

No. Just...no.: Why would you even consider that it would be safe? Of course not. Not for healing. Not for whatever underlying lung condition you have. No, no, no!

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Can spontaneous pneumothorax occur after pleurodesis?

Can spontaneous pneumothorax occur after pleurodesis?

Unfortunately yes: There are different techniques to treat spontaneous pneumothorax (sp). On average, a vats pleuradesis that uses talc application has over 90-95% success rate in primary sp. This means, even after aggressive surgical and chemical pleuradesis, there may be up to 10% of individuals that suffer recurrence.

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Can spontaneous pneumothorax occur after a pleurodesis?

Can spontaneous pneumothorax occur after a pleurodesis?

YES: The most effective means of pleuradesis occurs when medical grade talc is surgically applied. The success rate is estimated between 90-95%. Thus, individuals can see up to 15% recurrence. The other issue is that, patients may be at risk for pneumothorax in the opposite side. It is important to have thorough evaluation and discussion with a thoracic surgeon.

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After surgical pleurodesis can a pneumothorax still happen?

After surgical pleurodesis can a pneumothorax still happen?

Yes: Not all pleurodesis are the same. Depends on the agents used, the method of application, and the nature of your pathology, the success rate varies greatly.

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