title: Thoracoscopic water pleurectomy for the treatment of recurrent spontaneous pneumothorax.
abstract: We describe a new technique for thoracoscopic pleurectomy for the treatment of spontaneous pneumothorax. This is performed by percutaneous subpleural infiltration of 0.9% saline solution from the second to the seventh or eighth intercostal space, the so-called water pleurectomy. The extrapleural infiltration allows gentle separation of the parietal pleura by the division of its natural adherence to the endothoracic fascia. This technique reduces the trauma of the procedure and decreases bleeding. Technical details and preliminary results are reported.
authors: Department of Thoracic Surgery, University of Rome "La Sapienza," Sant'Andrea Hospital, Rome, Italy. Electronic address: claudioandreetti@libero.it.
authors: Claudio
authors: C
authors: Andreetti
authors: Department of Thoracic Surgery, University of Rome "La Sapienza," Sant'Andrea Hospital, Rome, Italy.
authors: Antonio
authors: A
authors: D'Andrilli
authors: Department of Thoracic Surgery, University of Rome "La Sapienza," Sant'Andrea Hospital, Rome, Italy.
authors: Anna Maria
authors: AM
authors: Ciccone
authors: Department of Thoracic Surgery, University of Rome "La Sapienza," Sant'Andrea Hospital, Rome, Italy; Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
authors: Erino Angelo
authors: EA
authors: Rendina
mesh_terms: D006801:Humans; D010994:Pleura; D011030:Pneumothorax / Q000628:therapy*; D012008:Recurrence; D012965:Sodium Chloride / Q000008:administration & dosage*; D013906:Thoracoscopy; D014867:Water / Q000008:administration & dosage*
chemical_list: D014867:Water; D012965:Sodium Chloride