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Chemical pleurodesis with iodized talcum in persistent therapy refractory bronchocutaneous fistula

Chemical pleurodesis with iodized talcum in persistent therapy refractory bronchocutaneous fistula

Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 65(3): 220-222

The common therapy of a persistent bronchocutaneous fistula is the operative endoscopic repair of the leak, the parietal pleurectomy or the endoscopic pleurodesis with different agents. Therefore the thoracotomy with all the risks for the patient can be avoid. Complications seen in the thoracoscopic treatment are low and often the result of techniqual problems. However there must be an alternative therapy for patients with a high operational risk. In our case we treated a bronchocutaneous persistent fistula by the instillation of iodized talc effectively. Although talc and others agents are used in the therapy of malignant pleural effusions, the talc poudrage in the therapy of bronchocutaneous fistulas is a good alternative treatment for patients in a bad condition.

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Accession: 045498628

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PMID: 8194407

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