Comparative study of talc poudrage versus pleural abrasion for the treatment of primary spontaneous pneumothorax

Primary spontaneous pneumothorax is a pathology mainly affecting healthy young patients. Clinical guidelines do not specify the type of pleurodesis that should be conducted, due to the lack of comparative studies on the different techniques. The aim of this study was to compare talc poudrage and ple...

Full description

Saved in:
Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2012-07, Vol.15 (1), p.81-85
Main Authors: Moreno-Merino, Sergio, Congregado, Miguel, Gallardo, Gregorio, Jimenez-Merchan, Rafael, Trivino, Ana, Cozar, Fernando, Lopez-Porras, Marta, Loscertales, Jesus
Format: Article
Language:English
Subjects:
Adult
Female
Humans
Length of Stay
Male
Original
Pleurodesis - adverse effects
Pleurodesis - methods
Pneumothorax - therapy
Recurrence
Retrospective Studies
Risk Assessment
Risk Factors
Spain
Surgical Sponges
Talc - administration & dosage
Talc - adverse effects
Thoracic Surgery, Video-Assisted
Time Factors
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Request full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Primary spontaneous pneumothorax is a pathology mainly affecting healthy young patients. Clinical guidelines do not specify the type of pleurodesis that should be conducted, due to the lack of comparative studies on the different techniques. The aim of this study was to compare talc poudrage and pleural abrasion in the treatment of spontaneous pneumothorax. A retrospective comparative study was performed, including 787 patients with primary spontaneous pneumothorax. The 787 patients were classified into two groups: Group A (pleural abrasion) n = 399 and Group B (talc pleurodesis) n = 388. The variables studied were recurrence, surgical time, morbidity and in-hospital length of stay. Statistical analysis was done by an unpaired t-test and Fisher's exact test (SSPS 18.0). Statistically significant differences were observed in the variables: surgical time (A: 46 ± 12.3; B: 37 ± 11.8 min; P < 0.001); length of stay (A: 4.7 ± 2.5; B: 4.3 ± 1.8 days; P = 0.01); apical air camera (A: 25; B: 4; P < 0.001); pleural effusion (A: 6; B: 0; P = 0.05). Talc poudrage shows shorter surgical times and length of stay, and lower re-intervention rates. Morbidity is lower in patients with talc poudrage. Statistically significant differences were not observed in recurrence, persistent air leaks, atelectasis and haemothorax.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivs027