pleurodesis


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pleurodesis

 [ploo͡-rod´ĕ-sis]
the artificial production of adhesions between the parietal and the visceral pleura for treatment of persistent pneumothorax or severe pleural effusion; formerly done by physically irritating the pleural surface, it is now usually done with a chemical sclerosing agent.

pleur·od·e·sis

(plūr-od'ĕ-sis),
The creation of a fibrous adhesion between the visceral and parietal layers of the pleura, thus obliterating the pleural cavity; it is performed surgically by abrading the pleura or by inserting a sterile irritant into the pleural space, and applied as treatment in cases of malignant pleural effusion, recurrent spontaneous pneumothorax, and chylothorax.
[pleuro- + G. desis, a binding together]

pleurodesis

A procedure in which the pleural space is obliterated by deliberately fusing the visceral and parietal pleura, either by using chemical sclerosants (e.g., a mixture of mitoxantrone, talc and tetracycline) or mechanically (e.g., by stripping the pleura), to treat recurrent pneumothorax or malignant pleural effusion secondary to cancer.

pleurodesis

Thoracic surgery A procedure in which the visceral and parietal pleura are deliberately fused, either by inducing chemical–eg, talc-inflammation or mechanically–eg, by stripping the pleura, to treat recurrent pneumothorax

pleur·od·e·sis

(plūr-od'ĕ-sis)
The creation of a fibrous adhesion between the visceral and parietal layers of the pleura, obliterating the pleural cavity; it is performed surgically by abrading the pleura or by inserting a sterile irritant into the pleural cavity in cases of recurrent spontaneous pneumothorax, malignant pleural effusion, and chylothorax.
[pleuro- + G. desis, a binding together]

pleurodesis

the production of adhesions between the visceral and parietal pleurae. May be produced intentionally by the instillation of irritating drugs into the pleural cavity or by abrading the visceral and parietal pleural surfaces to achieve adhesions. Called also pleural symphysis, pleural sclerosis.
References in periodicals archive ?
0 cm bullae distributed diffusely on the surfaces of both lungs were found, and the cauterization of bullae and pleurodesis was performed.
Furthermore, it can be used to perform therapeutic procedures, such as drainage of massive effusions and pleurodesis with high success rates.
After pre-operative anaesthesia, the patient underwent right sided VATS in conjunction with Lung and Diaphragm lesion biopsy and mechanical Pleurodesis.
Es de tener en cuenta que en pacientes con diagnostico formal de SUA con episodio de derrame pleural a repeticion la opcion quirurgica (decorticacion pulmonar, pleurodesis o pleurectomia) es la terapia con mayor evidencia en memoria de recurrencias de derrames pleurales (4).
After bilateral wedge resection and talc pleurodesis, he was discharged without complications and had remained well and without recurrence during the 8-year follow-up.
A medical approach (interferon alfa-2b and bisphosphonates are some of the most common choices), surgery to reduce the flow towards the pleural cavity (ligation of the thoracic duct, pleurodesis and pleurectomy), radiotherapy and chemotherapy (mainly bleomycin and cyclophosphamide) are options which have been tried in isolated cases with differing degrees of success (1).
5) Medical thoracoscopy can be used for therapeutic procedures, such as evacuation of pleural fluid and adhesiolysis in patients with empyema, pleurodesis in patients with recurrent spontaneous pneumothorax and malignant pleural effusion.
Calcification or other high attenuation within the pleural space is commonly due to asbestos exposure, chemical pleurodesis, and remote trauma or infection.
Additionally, obliteration of the pleural space is achieved via pleurodesis using talc, pleural abrasion, or partial pleurectomy.
It covers embryology, immunology, inflammation, genetics, transcriptomics and proteomics, pharmacokinetics, and experimental models, as well as the approach to patients, pleural fluid analysis, radiology, histology, cytology, effusions due to various causes, tumors, asbestos-related diseases, mesothelioma, pneumothorax, drainage techniques, pleurodesis, medical thoracoscopy, surgery, and gene therapy.