Pigtail Catheter: A Less Invasive Option for Pleural Drainage in Egyptian Patients with Recurrent Hepatic Hydrothorax
Background and Aims. Treatment of hepatic hydrothorax is a clinical challenge. Chest tube insertion for hepatic hydrothorax is associated with high complication rates. We assessed the use of pigtail catheter as a safe and practical method for treatment of recurrent hepatic hydrothorax as it had not...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2016/4013052 |
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| author | Mohamed Sharaf-Eldin Adel Salah Bediwy Abdelrahman Kobtan Sherief Abd-Elsalam Ferial El-Kalla Loai Mansour Walaa Elkhalawany Mohamed Elhendawy Samah Soliman |
| author_facet | Mohamed Sharaf-Eldin Adel Salah Bediwy Abdelrahman Kobtan Sherief Abd-Elsalam Ferial El-Kalla Loai Mansour Walaa Elkhalawany Mohamed Elhendawy Samah Soliman |
| author_sort | Mohamed Sharaf-Eldin |
| collection | DOAJ |
| description | Background and Aims. Treatment of hepatic hydrothorax is a clinical challenge. Chest tube insertion for hepatic hydrothorax is associated with high complication rates. We assessed the use of pigtail catheter as a safe and practical method for treatment of recurrent hepatic hydrothorax as it had not been assessed before in a large series of patients. Methods. This study was conducted on 60 patients admitted to Tanta University Hospital, Egypt, suffering from recurrent hepatic hydrothorax. The site of pigtail catheter insertion was determined by ultrasound guidance under complete aseptic measures and proper local anesthesia. Insertion was done by pushing the trocar and catheter until reaching the pleural cavity and then the trocar was withdrawn gradually while inserting the catheter which was then connected to a collecting bag via a triple way valve. Results. The use of pigtail catheter was successful in pleural drainage in 48 (80%) patients with hepatic hydrothorax. Complications were few and included pain at the site of insertion in 12 (20%) patients, blockage of the catheter in only 2 (3.3%) patients, and rapid reaccumulation of fluid in 12 (20%) patients. Pleurodesis was performed on 38 patients with no recurrence of fluid within three months of observation. Conclusions. Pigtail catheter insertion is a practical method for treatment of recurrent hepatic hydrothorax with a low rate of complications. This trial is registered with ClinicalTrials.gov Identifier: NCT02119169. |
| format | Article |
| id | doaj-art-165c3aed451a4d7fa8dd66b0d7f7dcc8 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-165c3aed451a4d7fa8dd66b0d7f7dcc82025-02-03T01:27:31ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/40130524013052Pigtail Catheter: A Less Invasive Option for Pleural Drainage in Egyptian Patients with Recurrent Hepatic HydrothoraxMohamed Sharaf-Eldin0Adel Salah Bediwy1Abdelrahman Kobtan2Sherief Abd-Elsalam3Ferial El-Kalla4Loai Mansour5Walaa Elkhalawany6Mohamed Elhendawy7Samah Soliman8Tropical Medicine and Infectious Diseases Department, Faculty of Medicine, Tanta University, Tanta 35127, EgyptChest Diseases Department, Faculty of Medicine, Tanta University, Tanta 35127, EgyptTropical Medicine and Infectious Diseases Department, Faculty of Medicine, Tanta University, Tanta 35127, EgyptTropical Medicine and Infectious Diseases Department, Faculty of Medicine, Tanta University, Tanta 35127, EgyptTropical Medicine and Infectious Diseases Department, Faculty of Medicine, Tanta University, Tanta 35127, EgyptTropical Medicine and Infectious Diseases Department, Faculty of Medicine, Tanta University, Tanta 35127, EgyptTropical Medicine and Infectious Diseases Department, Faculty of Medicine, Tanta University, Tanta 35127, EgyptTropical Medicine and Infectious Diseases Department, Faculty of Medicine, Tanta University, Tanta 35127, EgyptTropical Medicine and Infectious Diseases Department, Faculty of Medicine, Tanta University, Tanta 35127, EgyptBackground and Aims. Treatment of hepatic hydrothorax is a clinical challenge. Chest tube insertion for hepatic hydrothorax is associated with high complication rates. We assessed the use of pigtail catheter as a safe and practical method for treatment of recurrent hepatic hydrothorax as it had not been assessed before in a large series of patients. Methods. This study was conducted on 60 patients admitted to Tanta University Hospital, Egypt, suffering from recurrent hepatic hydrothorax. The site of pigtail catheter insertion was determined by ultrasound guidance under complete aseptic measures and proper local anesthesia. Insertion was done by pushing the trocar and catheter until reaching the pleural cavity and then the trocar was withdrawn gradually while inserting the catheter which was then connected to a collecting bag via a triple way valve. Results. The use of pigtail catheter was successful in pleural drainage in 48 (80%) patients with hepatic hydrothorax. Complications were few and included pain at the site of insertion in 12 (20%) patients, blockage of the catheter in only 2 (3.3%) patients, and rapid reaccumulation of fluid in 12 (20%) patients. Pleurodesis was performed on 38 patients with no recurrence of fluid within three months of observation. Conclusions. Pigtail catheter insertion is a practical method for treatment of recurrent hepatic hydrothorax with a low rate of complications. This trial is registered with ClinicalTrials.gov Identifier: NCT02119169.http://dx.doi.org/10.1155/2016/4013052 |
| spellingShingle | Mohamed Sharaf-Eldin Adel Salah Bediwy Abdelrahman Kobtan Sherief Abd-Elsalam Ferial El-Kalla Loai Mansour Walaa Elkhalawany Mohamed Elhendawy Samah Soliman Pigtail Catheter: A Less Invasive Option for Pleural Drainage in Egyptian Patients with Recurrent Hepatic Hydrothorax Gastroenterology Research and Practice |
| title | Pigtail Catheter: A Less Invasive Option for Pleural Drainage in Egyptian Patients with Recurrent Hepatic Hydrothorax |
| title_full | Pigtail Catheter: A Less Invasive Option for Pleural Drainage in Egyptian Patients with Recurrent Hepatic Hydrothorax |
| title_fullStr | Pigtail Catheter: A Less Invasive Option for Pleural Drainage in Egyptian Patients with Recurrent Hepatic Hydrothorax |
| title_full_unstemmed | Pigtail Catheter: A Less Invasive Option for Pleural Drainage in Egyptian Patients with Recurrent Hepatic Hydrothorax |
| title_short | Pigtail Catheter: A Less Invasive Option for Pleural Drainage in Egyptian Patients with Recurrent Hepatic Hydrothorax |
| title_sort | pigtail catheter a less invasive option for pleural drainage in egyptian patients with recurrent hepatic hydrothorax |
| url | http://dx.doi.org/10.1155/2016/4013052 |
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