title: Management of bilateral pneumothoraces after talc pleurodesis and unilateral lung volume reduction surgery.
abstract: Lung volume reduction surgery (LVRS) is one of the surgical options in the treatment of advanced emphysema and may also be considered as a 'bridge' operation to lung transplantation in selected patients. Although its long-term effects are still debatable, some patients significantly benefit from this operation. Secondary spontaneous pneumothorax is one of the commonest complications of severe emphysema that necessitates an emergency drainage procedure. However, there is no satisfactory information regarding the management of this complication occurring after LVRS in the literature. This paper reports a case of bilateral pneumothorax three months after a unilateral LVRS that was performed following a contra-lateral talc pleurodesis for recurrent pneumothorax.
authors.affiliation: Sureyyapasa Chest Diseases and Thoracic Surgery Teaching and Research Hospital, Istanbul, Turkey.
authors.forename: Oral
authors.initials: O
authors.lastname: Akin
authors.forename: Erdal
authors.initials: E
authors.lastname: Tasci
authors.forename: Guven
authors.initials: G
authors.lastname: Olgac
authors.forename: Cemal Asim
authors.initials: CA
authors.lastname: Kutlu
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018700:Pleurodesis / Q000009:adverse effects* / Q000379:methods; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000628:therapy*; D013902:Radiography, Thoracic; D012008:Recurrence; D012086:Reoperation; D012129:Respiratory Function Tests; D018570:Risk Assessment; D012720:Severity of Illness Index; D013627:Talc / Q000494:pharmacology; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000379:methods; D013907:Thoracostomy / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D013627:Talc