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Ann Thorac Surg 1986;41:143-145
© 1986 The Society of Thoracic Surgeons

Articles

The Use of Talc for Pleurodesis in the Treatment of Resistant Empyema

Dov Weissberg, M.D., F.R.C.S.(C)*, Moritz Kaufman, M.D.

Department of Thoracic Surgery, Edith Wolfson Hospital, Holon, Israel

Accepted for publication March 25, 1985.

* Address reprint requests to Dr. Weissberg, Edith Wolfson Hospital, PO Box 5, Holon 58100, Israel

The use of talc in the infected pleural space has not been reported previously. Five patients who had empyema of the pleura in the fibrinopurulent stage and did not respond to treatment with tube drainage and antibiotics were treated by talc insufflation to stimulate pleural adhesions. Pleurodesis was achieved in all 5 patients, with complete recovery from empyema. No untoward effects were observed. These results suggest that talc pleurodesis may be an acceptable solution to the problem of empyema resistant to other methods of treatment.




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