Spontaneous pneumothorax: pleurodesis with an iodo-povidone hydroalcoholic solution
To analyze the efficacy of an iodo-povidone hydroalcoholic solution for the chemical pleurodesis of spontaneous pneumothorax. A descriptive, retrospective study of 81 patients with spontaneous pneumothorax. The patients were treated by video-assisted thoracoscopy and chemical pleurodesis with an iod...
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| Veröffentlicht in: | Archivos de bronconeumología 2003-04, Vol.39 (4), p.171-174 |
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| creator | Estrada Saló, G Farina Ríos, C Fibla Alfara, J J Gómez Sebastián, G Unzueta, M C León González, Carlos |
| description | To analyze the efficacy of an iodo-povidone hydroalcoholic solution for the chemical pleurodesis of spontaneous pneumothorax.
A descriptive, retrospective study of 81 patients with spontaneous pneumothorax. The patients were treated by video-assisted thoracoscopy and chemical pleurodesis with an iodo-povidone hydroalcoholic solution at the thoracic surgery unit of Hospital de la Santa Creu i Sant Pau in Barcelona (Spain) between January 1993 and December 1999.
Eighty-one patients, 59 men (73%) and 22 women (27%), between 14 and 82 years old (mean age 33 years) were treated. Pneumothorax was most often on the right side (43 cases, 53%). The main indications for surgery were recurrence (52 cases, 64%) and persistent air leaks (25 cases, 31%). All were treated by video-assisted thoracoscopy, with resection of the pulmonary parenchyma in 30 cases (37%) and pleural instillation of the iodo-povidone hydroalcoholic solution as the irritant in all cases. Air leaks were observed during early postoperative recovery in 10 patients (12.3%), self-limited fever in 5 (6.1%) and infection of drainage openings in 2 (2.4%). During the postoperative follow-up period of 6 to 67 months (mean 24 months), 5 recurrences (6.1%) were seen.
An iodo-povidone hydroalcoholic solution is easy to apply by video-assisted thoracoscopy and is highly effective for pleurodesis in cases of spontaneous pneumothorax. |
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A descriptive, retrospective study of 81 patients with spontaneous pneumothorax. The patients were treated by video-assisted thoracoscopy and chemical pleurodesis with an iodo-povidone hydroalcoholic solution at the thoracic surgery unit of Hospital de la Santa Creu i Sant Pau in Barcelona (Spain) between January 1993 and December 1999.
Eighty-one patients, 59 men (73%) and 22 women (27%), between 14 and 82 years old (mean age 33 years) were treated. Pneumothorax was most often on the right side (43 cases, 53%). The main indications for surgery were recurrence (52 cases, 64%) and persistent air leaks (25 cases, 31%). All were treated by video-assisted thoracoscopy, with resection of the pulmonary parenchyma in 30 cases (37%) and pleural instillation of the iodo-povidone hydroalcoholic solution as the irritant in all cases. Air leaks were observed during early postoperative recovery in 10 patients (12.3%), self-limited fever in 5 (6.1%) and infection of drainage openings in 2 (2.4%). During the postoperative follow-up period of 6 to 67 months (mean 24 months), 5 recurrences (6.1%) were seen.
An iodo-povidone hydroalcoholic solution is easy to apply by video-assisted thoracoscopy and is highly effective for pleurodesis in cases of spontaneous pneumothorax.</description><identifier>ISSN: 0300-2896</identifier><identifier>PMID: 12716558</identifier><language>spa</language><publisher>Spain</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ethanol ; Female ; Humans ; Male ; Middle Aged ; Pleurodesis ; Pneumothorax - drug therapy ; Pneumothorax - surgery ; Povidone-Iodine - administration & dosage ; Povidone-Iodine - therapeutic use ; Solutions ; Thoracic Surgery, Video-Assisted - instrumentation ; Water</subject><ispartof>Archivos de bronconeumología, 2003-04, Vol.39 (4), p.171-174</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12716558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Estrada Saló, G</creatorcontrib><creatorcontrib>Farina Ríos, C</creatorcontrib><creatorcontrib>Fibla Alfara, J J</creatorcontrib><creatorcontrib>Gómez Sebastián, G</creatorcontrib><creatorcontrib>Unzueta, M C</creatorcontrib><creatorcontrib>León González, Carlos</creatorcontrib><title>Spontaneous pneumothorax: pleurodesis with an iodo-povidone hydroalcoholic solution</title><title>Archivos de bronconeumología</title><addtitle>Arch Bronconeumol</addtitle><description>To analyze the efficacy of an iodo-povidone hydroalcoholic solution for the chemical pleurodesis of spontaneous pneumothorax.
A descriptive, retrospective study of 81 patients with spontaneous pneumothorax. The patients were treated by video-assisted thoracoscopy and chemical pleurodesis with an iodo-povidone hydroalcoholic solution at the thoracic surgery unit of Hospital de la Santa Creu i Sant Pau in Barcelona (Spain) between January 1993 and December 1999.
Eighty-one patients, 59 men (73%) and 22 women (27%), between 14 and 82 years old (mean age 33 years) were treated. Pneumothorax was most often on the right side (43 cases, 53%). The main indications for surgery were recurrence (52 cases, 64%) and persistent air leaks (25 cases, 31%). All were treated by video-assisted thoracoscopy, with resection of the pulmonary parenchyma in 30 cases (37%) and pleural instillation of the iodo-povidone hydroalcoholic solution as the irritant in all cases. Air leaks were observed during early postoperative recovery in 10 patients (12.3%), self-limited fever in 5 (6.1%) and infection of drainage openings in 2 (2.4%). During the postoperative follow-up period of 6 to 67 months (mean 24 months), 5 recurrences (6.1%) were seen.
An iodo-povidone hydroalcoholic solution is easy to apply by video-assisted thoracoscopy and is highly effective for pleurodesis in cases of spontaneous pneumothorax.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ethanol</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pleurodesis</subject><subject>Pneumothorax - drug therapy</subject><subject>Pneumothorax - surgery</subject><subject>Povidone-Iodine - administration & dosage</subject><subject>Povidone-Iodine - therapeutic use</subject><subject>Solutions</subject><subject>Thoracic Surgery, Video-Assisted - instrumentation</subject><subject>Water</subject><issn>0300-2896</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kE9PwyAchjlo3Jx-BcPJWxMKA4o3s_hnyRIP03NDgaYY2h8CVfftXbJ5ei9P3uR5LtCSMEIq2iixQNc5fxJCOVvTK7SoqawF580S7fcRpqInB3PGcXLzCGWApH8fcAxuTmBd9hn_-DJgPWEPFqoI397C5PBwsAl0MDBA8AZnCHPxMN2gy16H7G7Pu0Ifz0_vm9dq9_ay3TzuqlgzVSrNLLFG1n0jmWKCcWmJFB11jZVUai57xojte9etlRWdlEY11Bhh1op3qhZshe5PvzHB1-xyaUefjQvhpNNKRo_CSh7BuzM4d6OzbUx-1OnQ_mdgf2ViWis</recordid><startdate>200304</startdate><enddate>200304</enddate><creator>Estrada Saló, G</creator><creator>Farina Ríos, C</creator><creator>Fibla Alfara, J J</creator><creator>Gómez Sebastián, G</creator><creator>Unzueta, M C</creator><creator>León González, Carlos</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200304</creationdate><title>Spontaneous pneumothorax: pleurodesis with an iodo-povidone hydroalcoholic solution</title><author>Estrada Saló, G ; Farina Ríos, C ; Fibla Alfara, J J ; Gómez Sebastián, G ; Unzueta, M C ; León González, Carlos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-a3d0dc71f873936357d076b2e8d727a57f330dffeb49d6b77c982cc6c495b9163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ethanol</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pleurodesis</topic><topic>Pneumothorax - drug therapy</topic><topic>Pneumothorax - surgery</topic><topic>Povidone-Iodine - administration & dosage</topic><topic>Povidone-Iodine - therapeutic use</topic><topic>Solutions</topic><topic>Thoracic Surgery, Video-Assisted - instrumentation</topic><topic>Water</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Estrada Saló, G</creatorcontrib><creatorcontrib>Farina Ríos, C</creatorcontrib><creatorcontrib>Fibla Alfara, J J</creatorcontrib><creatorcontrib>Gómez Sebastián, G</creatorcontrib><creatorcontrib>Unzueta, M C</creatorcontrib><creatorcontrib>León González, Carlos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Archivos de bronconeumología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Estrada Saló, G</au><au>Farina Ríos, C</au><au>Fibla Alfara, J J</au><au>Gómez Sebastián, G</au><au>Unzueta, M C</au><au>León González, Carlos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous pneumothorax: pleurodesis with an iodo-povidone hydroalcoholic solution</atitle><jtitle>Archivos de bronconeumología</jtitle><addtitle>Arch Bronconeumol</addtitle><date>2003-04</date><risdate>2003</risdate><volume>39</volume><issue>4</issue><spage>171</spage><epage>174</epage><pages>171-174</pages><issn>0300-2896</issn><abstract>To analyze the efficacy of an iodo-povidone hydroalcoholic solution for the chemical pleurodesis of spontaneous pneumothorax.
A descriptive, retrospective study of 81 patients with spontaneous pneumothorax. The patients were treated by video-assisted thoracoscopy and chemical pleurodesis with an iodo-povidone hydroalcoholic solution at the thoracic surgery unit of Hospital de la Santa Creu i Sant Pau in Barcelona (Spain) between January 1993 and December 1999.
Eighty-one patients, 59 men (73%) and 22 women (27%), between 14 and 82 years old (mean age 33 years) were treated. Pneumothorax was most often on the right side (43 cases, 53%). The main indications for surgery were recurrence (52 cases, 64%) and persistent air leaks (25 cases, 31%). All were treated by video-assisted thoracoscopy, with resection of the pulmonary parenchyma in 30 cases (37%) and pleural instillation of the iodo-povidone hydroalcoholic solution as the irritant in all cases. Air leaks were observed during early postoperative recovery in 10 patients (12.3%), self-limited fever in 5 (6.1%) and infection of drainage openings in 2 (2.4%). During the postoperative follow-up period of 6 to 67 months (mean 24 months), 5 recurrences (6.1%) were seen.
An iodo-povidone hydroalcoholic solution is easy to apply by video-assisted thoracoscopy and is highly effective for pleurodesis in cases of spontaneous pneumothorax.</abstract><cop>Spain</cop><pmid>12716558</pmid><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Ethanol Female Humans Male Middle Aged Pleurodesis Pneumothorax - drug therapy Pneumothorax - surgery Povidone-Iodine - administration & dosage Povidone-Iodine - therapeutic use Solutions Thoracic Surgery, Video-Assisted - instrumentation Water |
| title | Spontaneous pneumothorax: pleurodesis with an iodo-povidone hydroalcoholic solution |
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