[Thoracoscopic pleurodesis in persistent and recurrent pneumothorax].
103 patients with recurrent or persistent pneumothorax have been treated with local application of fibrin and talcum by a thoracoscopic procedure. The method was successful in 97 patients (94.2%) and lead to a stable and complete reexpansion of the lung within 6.3 days. As a direct consequence of the procedure itself only a few and minor complications occurred during a mean hospitalization-time of 10.4 days. The longterm followup over a mean period of 6.4 years revealed a recurrence rate of 15%, although half of the episodes occurred early during the first three months. After 6 years, 80% of the patients were completely asymptomatic and spirometric lung function was restored to normal values. We therefore consider thoracoscopic pleurodesis to be a successful and safe method for treating complicated pneumothorax.
Keller
R
R
Pneumologische Abteilung, Klinik Barmelweid/Aarau.
D004322:Drainage; D004598:Electrosurgery; D015718:Fibrin Tissue Adhesive / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D010994:Pleura / Q000601:surgery*; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D013627:Talc; D013906:Thoracoscopy / Q000379:methods*; D013908:Thoracotomy; D014797:Vital Capacity / Q000502:physiology
D015718:Fibrin Tissue Adhesive; D013627:Talc
Thorakoskopische Pleurodese beim persistierenden und rezidivierenden Pneumothorax.