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  • Title: Effectiveness of thoracoscopic talc pleurodesis in the management of complicated spontaneous pneumothorax.
    Author: Adewole OO, De Keukeleire T, Phillips AS, Erhabor G, Noppen M.
    Journal: J Bronchology Interv Pulmonol; 2015 Jan; 22(1):48-51. PubMed ID: 25590483.
    Abstract:
    BACKGROUND: Complicated (recurring or persistent) spontaneous pneumothorax requires intervention either by surgical or nonsurgical pleurodesis or other interventions. As for high-risk patients, aggressive interventions may be associated with morbidity, the safety and effectiveness of less aggressive alternative interventions like thoracoscopic talc pleurodesis (TTP) should be evaluated. METHODS: Data were extracted on patients who had undergone TTP for complicated spontaneous pneumothorax at Interventional Clinic, University Hospital, Brussels, Belgium. The complications, length of hospital stay, and success rate over a 24-month period were studied. RESULTS: A total of 41 TTP procedures were performed for 25 (61%) cases of primary spontaneous pneumothorax and for 16 (39%) cases of secondary spontaneous pneumothorax. Twenty-four cases were first episodes, whereas it was a recurrence in 17. Of 4 patients with blebs/bullae, 2 had recurrence after TTP.No patient had acute respiratory distress syndrome or any other serious complication after TTP. Recurrence rates after TTP in primary and secondary spontaneous pneumothorax were 9.5% and 25% at 24 months, respectively. The mean length of hospital stay after TTP was 3±3.2 days. CONCLUSIONS: TTP is a safe and effective intervention in complicated spontaneous pneumothorax.
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