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The Annals of Thoracic Surgery, Vol 22, 8-15, Copyright © 1976 by The Society of Thoracic Surgeons

ARTICLES

Treatment of malignant pleural effusion: a method using tube thoracostomy and talc

RH Adler and I Sayek

Our experience with a simple bedside method for controlling recurrent symptomatic malignant pleural effusion is presented. The method consists of intercostal tube thoracostomy, instillation of a suspension of talc, and waterseal suction drainage. Based on our experience, we believe certain criteria should be met before undertaking talc pleurodesis. In properly selected patients the results with tube thoracostomy and talc pleurodesis have been uniformly good in preventing fluid recurrence and return of disabling symptoms. The technique and results are discussed.

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