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. 1991 Aug;46(8):596–598. doi: 10.1136/thx.46.8.596

Pleural abrasion: a new method of pleurodesis.

U U Nkere 1, S C Griffin 1, S W Fountain 1
PMCID: PMC463290  PMID: 1926032

Abstract

Sixty patients (48 male, 12 female; median age 32 (range 16-72) years) underwent pleural abrasion for persistent or recurrent pneumothorax. Fifty patients had recurrent pneumothorax and 10 persistence of a first pneumothorax despite conservative treatment; two had bilateral pneumothoraces. Pleural abrasion was carried out with a domestic nylon scouring pad and blebs or bullae were ligated or stapled and excised. Intercostal drainage was discontinued after a median time of two days, median serosanguinous loss was 250 ml, and the median postoperative stay in hospital was four days. During the median follow up period of 32 (range 19-52) months pneumothorax has recurred in one patient.

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Selected References

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  1. Almind M., Lange P., Viskum K. Spontaneous pneumothorax: comparison of simple drainage, talc pleurodesis, and tetracycline pleurodesis. Thorax. 1989 Aug;44(8):627–630. doi: 10.1136/thx.44.8.627. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bevelaqua F. A., Aranda C. Management of spontaneous pneumothorax with small lumen catheter manual aspiration. Chest. 1982 Jun;81(6):693–694. doi: 10.1378/chest.81.6.693. [DOI] [PubMed] [Google Scholar]
  3. Clagett O. T. The management of spontaneous pneumothorax. J Thorac Cardiovasc Surg. 1968 May;55(5):761–762. [PubMed] [Google Scholar]
  4. Deslauriers J., Beaulieu M., Després J. P., Lemieux M., Leblanc J., Desmeules M. Transaxillary pleurectomy for treatment of spontaneous pneumothorax. Ann Thorac Surg. 1980 Dec;30(6):569–574. doi: 10.1016/s0003-4975(10)61733-x. [DOI] [PubMed] [Google Scholar]
  5. Ferguson L. J., Imrie C. W., Hutchison J. Excision of bullae without pleurectomy in patients with spontaneous pneumothorax. Br J Surg. 1981 Mar;68(3):214–216. doi: 10.1002/bjs.1800680323. [DOI] [PubMed] [Google Scholar]
  6. GAENSLER E. A. Parietal pleurectomy for recurrent spontaneous pneumothorax. Surg Gynecol Obstet. 1956 Mar;102(3):293–308. [PubMed] [Google Scholar]
  7. Granke K., Fischer C. R., Gago O., Morris J. D., Prager R. L. The efficacy and timing of operative intervention for spontaneous pneumothorax. Ann Thorac Surg. 1986 Nov;42(5):540–542. doi: 10.1016/s0003-4975(10)60578-4. [DOI] [PubMed] [Google Scholar]
  8. Lange P., Mortensen J., Groth S. Lung function 22-35 years after treatment of idiopathic spontaneous pneumothorax with talc poudrage or simple drainage. Thorax. 1988 Jul;43(7):559–561. doi: 10.1136/thx.43.7.559. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. LoCicero J., 3rd, Hartz R. S., Frederiksen J. W., Michaelis L. L. New applications of the laser in pulmonary surgery: hemostasis and sealing of air leaks. Ann Thorac Surg. 1985 Dec;40(6):546–550. doi: 10.1016/s0003-4975(10)60346-3. [DOI] [PubMed] [Google Scholar]
  10. MILLS M., BAISCH B. F. SPONTANEOUS PNEUMOTHORAX: A SERIES OF 400 CASES. Ann Thorac Surg. 1965 May;1:286–297. doi: 10.1016/s0003-4975(10)66756-2. [DOI] [PubMed] [Google Scholar]
  11. Morgan M. D., Edwards C. W., Morris J., Matthews H. R. Origin and behaviour of emphysematous bullae. Thorax. 1989 Jul;44(7):533–538. doi: 10.1136/thx.44.7.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Singh S. V. The surgical treatment of spontaneous pneumothorax by parietal pleurectomy. Long-term results with special reference to pulmonary function studies. Scand J Thorac Cardiovasc Surg. 1982;16(1):75–80. doi: 10.3109/14017438209100614. [DOI] [PubMed] [Google Scholar]
  13. THOMAS P. A., GEBAUER P. W. Results and complications of pleurectomy for bullous emphysema and recurrent pneumothorax. J Thorac Cardiovasc Surg. 1960 Feb;39:194–201. [PubMed] [Google Scholar]
  14. Verschoof A. C., Ten Velde G. P., Greve L. H., Wouters E. F. Thoracoscopic pleurodesis in the management of spontaneous pneumothorax. Respiration. 1988;53(3):197–200. doi: 10.1159/000195413. [DOI] [PubMed] [Google Scholar]
  15. Wakabayashi A. Thoracoscopic ablation of blebs in the treatment of recurrent or persistent spontaneous pneumothorax. Ann Thorac Surg. 1989 Nov;48(5):651–653. doi: 10.1016/0003-4975(89)90782-0. [DOI] [PubMed] [Google Scholar]
  16. Weeden D., Smith G. H. Surgical experience in the management of spontaneous pneumothorax, 1972-82. Thorax. 1983 Oct;38(10):737–743. doi: 10.1136/thx.38.10.737. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Youmans C. R., Jr, Williams R. D., McMinn M. R., Derrick J. R. Surgical management of spontaneous pneumothorax by bleb ligation and pleural dry sponge abrasion. Am J Surg. 1970 Nov;120(5):644–648. doi: 10.1016/s0002-9610(70)80185-4. [DOI] [PubMed] [Google Scholar]

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