povidone-iodine and Pleural-Diseases

Symptomatic pleural disease, specifically malignant pleural effusion, refractory benign pleural effusion, and pneumothoraces are common diseases that often require therapeutic interventions. The spectrum of management strategies often includes selection of a chemical pleurodesis agent administered in combination with an indwelling pleural catheter or chest tube.Additionally, there is a role for minimally invasive techniques which include medical thoracoscopy or more advanced video-assisted thoracoscopic approaches. Ongoing clinical trials continue to evolve best practices regarding the optimal sclerosant agents and procedural approaches in the management of these diseases.

Topics: Humans; Pleural Diseases; Pleural Effusion, Malignant; Pleurodesis; Pneumothorax; Povidone-Iodine; Sclerosing Solutions; Silver Nitrate; Talc; Tetracyclines; Thoracoscopy

Bronchopleural fistula after pneumonectomy is a dreaded complication, because of its high morbidity and mortality. We describe a successful technique using closed-chest irrigation of the pleural cavity continued with transposition of a latissimus dorsi island flap.

Topics: Aged; Anti-Infective Agents, Local; Bronchial Fistula; Humans; Incidence; Middle Aged; Muscle, Skeletal; Pleura; Pleural Diseases; Pneumonectomy; Povidone-Iodine; Recurrence; Retrospective Studies; Suction; Surgical Flaps; Therapeutic Irrigation; Treatment Outcome