The role of videothoracoscopy and pleurodesis in the diagnosis and treatment of inflammatory pleural effusions

The objective of the study is еo evaluate the possibilities of videothoracoscopy in the cases of pleurisy of inflammatory nature of specific and non-specific etiology.Material and methods. We carried out the retrospective analysis of medical histories of 135 patients.. Parapneumonic pleurisy was dia...

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Main Authors: S. A. Plaksin, L. I. Farshatova
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2018-12-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/1105
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author S. A. Plaksin
L. I. Farshatova
author_facet S. A. Plaksin
L. I. Farshatova
author_sort S. A. Plaksin
collection DOAJ
description The objective of the study is еo evaluate the possibilities of videothoracoscopy in the cases of pleurisy of inflammatory nature of specific and non-specific etiology.Material and methods. We carried out the retrospective analysis of medical histories of 135 patients.. Parapneumonic pleurisy was diagnosed in 68 (54.4 %) patients, tuberculous pleurisy – in 57 (45.6 %) patients.Results. Videothoracoscopy was diagnostic procedure in 61.6 % of patients and was performed for the defragmentation of pleurisy in 38.4 % of patients. Videothoracoscopy allows exactly diagnosing the tuberculous pleurisy by means of biopsy in the absence of lesions on the pleura. Resistant parapneumonic pleurisy was diagnosed in 34.9 % of patients. In cases of parapneumonic resistant pleurisy, the pleurodesis reduces the time of the drainage by means of injection through the drainage of mixtures of betadine and concentrated solution of glucose.
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publishDate 2018-12-01
publisher Pavlov First Saint Petersburg State Medical University
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series Вестник хирургии имени И.И. Грекова
spelling doaj-art-47a5a2c0e80e4624ba458e8d8876fd0d2025-08-20T03:02:11ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-12-011776454810.24884/0042-4625-2018-177-6-45-48939The role of videothoracoscopy and pleurodesis in the diagnosis and treatment of inflammatory pleural effusionsS. A. Plaksin0L. I. Farshatova1Federal State Budgetary Educational Institution of Higher Education «Perm State Medical University named after Academician E. A. Wagner» of the Ministry of Healthcare of the Russian Federation.Federal State Budgetary Educational Institution of Higher Education «Perm State Medical University named after Academician E. A. Wagner» of the Ministry of Healthcare of the Russian Federation.The objective of the study is еo evaluate the possibilities of videothoracoscopy in the cases of pleurisy of inflammatory nature of specific and non-specific etiology.Material and methods. We carried out the retrospective analysis of medical histories of 135 patients.. Parapneumonic pleurisy was diagnosed in 68 (54.4 %) patients, tuberculous pleurisy – in 57 (45.6 %) patients.Results. Videothoracoscopy was diagnostic procedure in 61.6 % of patients and was performed for the defragmentation of pleurisy in 38.4 % of patients. Videothoracoscopy allows exactly diagnosing the tuberculous pleurisy by means of biopsy in the absence of lesions on the pleura. Resistant parapneumonic pleurisy was diagnosed in 34.9 % of patients. In cases of parapneumonic resistant pleurisy, the pleurodesis reduces the time of the drainage by means of injection through the drainage of mixtures of betadine and concentrated solution of glucose.https://www.vestnik-grekova.ru/jour/article/view/1105tuberculous pleurisyparapneumonic pleural effusionvideothoracoscopypleurodesis
spellingShingle S. A. Plaksin
L. I. Farshatova
The role of videothoracoscopy and pleurodesis in the diagnosis and treatment of inflammatory pleural effusions
Вестник хирургии имени И.И. Грекова
tuberculous pleurisy
parapneumonic pleural effusion
videothoracoscopy
pleurodesis
title The role of videothoracoscopy and pleurodesis in the diagnosis and treatment of inflammatory pleural effusions
title_full The role of videothoracoscopy and pleurodesis in the diagnosis and treatment of inflammatory pleural effusions
title_fullStr The role of videothoracoscopy and pleurodesis in the diagnosis and treatment of inflammatory pleural effusions
title_full_unstemmed The role of videothoracoscopy and pleurodesis in the diagnosis and treatment of inflammatory pleural effusions
title_short The role of videothoracoscopy and pleurodesis in the diagnosis and treatment of inflammatory pleural effusions
title_sort role of videothoracoscopy and pleurodesis in the diagnosis and treatment of inflammatory pleural effusions
topic tuberculous pleurisy
parapneumonic pleural effusion
videothoracoscopy
pleurodesis
url https://www.vestnik-grekova.ru/jour/article/view/1105
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AT lifarshatova theroleofvideothoracoscopyandpleurodesisinthediagnosisandtreatmentofinflammatorypleuraleffusions
AT saplaksin roleofvideothoracoscopyandpleurodesisinthediagnosisandtreatmentofinflammatorypleuraleffusions
AT lifarshatova roleofvideothoracoscopyandpleurodesisinthediagnosisandtreatmentofinflammatorypleuraleffusions