الفهرس 
Indications And Outcome Of PleurodesisOnly 14 pages are availabe for public view
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Abstract
Introduction: The management of patients with malignant and/or recurrent pleural effusions is cumbersome and can present important diagnostic and therapeutic challenges.
Aim of the work: To evaluate the effectiveness of rapid pleurodesis technique in malignant pleural effusion in comparison to standard.
Subjects and methods: A prospective, randomized method was utilized to compare standard method of pleurodesis with the proposed new rapid pleurodesis process in patients with symptomatic malignant pleural effusion using pigtail for drainagetechnique.
Results: A total of 30 patients (16 male , 14 female ) with malignant pleural effusion will be included in this study . devided into group 1 submitted to standard pleurodesis technique using 24F to 28F thoracostomy tube for drainage (10 patients) group 2 submitted to rapid pleurodesis technique using pigtail for drainage (20 patients).
Discussion: Malignant and/or recurrent pleural effusions are associated with significant morbidity. The key point to achieve successful pleurodesis is the ability to fully drain the pleural space and to re-expand the lung. Prompt clinical evaluation followed by aggressive treatment often results in successful palliation. Treatment response for MPE is highly variable. We have developed a new method of rapid pleurodesis, which worked effectively in patients with short survival expectations.
Conclusion: Rapid pleurodesis can offer similar results to those reported for traditional techniques, This technique is easy to apply and constitutes a minimally invasive procedure. Ambulatory, pigtail insertion is a feasible management option in several pleural pathologies. It is easily tolerated, can be managed at home with an improved quality of life, and is potentially less costly in resource constrained environments.