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The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 689-695, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
D Weissberg and I Ben-Zeev
Talc was used intrapleurally for the creation of pleural adhesions in 360
patients. The indications for use were malignant pleural effusion in 169
patients, benign effusions in 41, recurrent pneumothorax in 122, empyema in
19, and chylothorax in 9. Of 336 patients available for follow-up,
excellent results (complete pleurodesis) were achieved in 284 patients
(84.5%), fair results in 28 (8.3%), and poor results (no adhesions) in 24
(7.2%). The results were best in empyema (100%) and better in pneumothorax
than in pleural effusions. With repeat talc insufflation, the results were
improved to excellent in more than 90% of the patients. Talc is the most
effective and least expensive agent for creation of pleural adhesions. Its
use is simple and easily tolerated by the patients. Because of the
carcinogenic effect of asbestos, purified talc that is free of asbestos
fibers must be used.
ARTICLES
Talc pleurodesis. Experience with 360 patients
Department of Thoracic Surgery, Tel Aviv University Sackler School of Medicine, E. Wolfson Medical Center, Holon, Israel.
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