Pleural Effusion

Email Comment bookmark
Font : A-A+

Surgical Care:

  • Surgical intervention most often is required for parapneumonic effusions

    that cannot be drained adequately by needle or small-bore catheters, and surgery might be required for diagnosis and sclerosis of exudative effusions.

  • Video-assisted thoracoscopy

    (VATS) under local or general anesthesia allows direct visualization and biopsy of the pleura for diagnosis of exudative effusions.

  • Pleural sclerosis by insufflating talc directly

    onto the pleural surface using VATS might be more effective than methods using talc slurries.

  • Decortication usually is needed to remove a thick, inelastic pleural peel that restricts ventilation and produces progressive or refractory dyspnea. In cases of chronic, organizing parapneumonic pleural effusions, technically demanding operations might be required to drain loculated pleural fluid and obliterate the pleural space.

  • Surgically implanted pleuroperitoneal shunts are another treatment option for recurrent symptomatic effusions, most often in the setting of malignancy. Actively pump the subcutaneous chamber at frequent intervals to shunt fluid from the pleural space to the peritoneal cavity. The shunts are prone to malfunction over time and can require surgical revision.

  • In unusual cases, surgery might be required to close diaphragmatic defects, thereby preventing recurrent accumulation of pleural effusions in patients with ascites, and to ligate the thoracic duct to prevent reaccumulation of chylous effusions.

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions
hansmash 

how much it costs ?

mom30 

i get the shakes, because i be in so much pain from my menstrual cycle the frist two days of it coming on.

viikrant04 

how much amount of pleural fluid is required for cytological examination to detect malignancy in a patient having huge amount of pleuritis

CME Lessons

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Find a Doctor