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INNOVATIONS
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 251

A low-cost alternative to atomizer in talc pleurodesis


1 Department of Surgical Oncology, Sawai Man Singh Medical College & Hospital, Jaipur 302 004, Rajasthan, India
2 Department of General Surgery, Dayanand Medical College & Hospital, Ludhiana 141 001, Punjab, India

Date of Submission20-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Atul Mishra
Department of General Surgery, Dayanand Medical College & Hospital, Ludhiana 141 001, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2301_19

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How to cite this article:
Jindal R, Mishra A. A low-cost alternative to atomizer in talc pleurodesis. Indian J Med Res 2020;152, Suppl S1:251

How to cite this URL:
Jindal R, Mishra A. A low-cost alternative to atomizer in talc pleurodesis. Indian J Med Res [serial online] 2020 [cited 2021 Jul 29];152, Suppl S1:251. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/251/316816

Patient's consent obtained to publish clinical information and images.


This indigenous method was devised at the department of General Surgery, Dayanand Medical College and Hospital, Ludhiana, India, in 2010 as an alternative to an atomizer for video-assisted thoracoscopic (VATS) talc pleurodesis, which is generally done in cases of recurrent pneumothorax, recurrent and malignant pleural effusion. There are two methods of administering sterilized talc - one in the slurry form which has the disadvantage of uneven and ineffective spread and the other being talc poudrage using an atomizer. The latter is known to have an effective distribution of talc over the parietal and visceral pleural surfaces, but the associated high cost limits its use. A mucous extractor [Figure 1] is a cheap, simple and easy to use device, which is used for the aspiration of mucous and other secretions to maintain the patency of upper airways. In this innovation, a mucous extractor was used for the conversion of slurry talc to vaporized form by attaching one end of the extractor to CO2 insufflation, which was used for talc pleurodesis in a 24 yr old male with a large right-sided pneumothorax following a ruptured apical bulla (Video). After failed conservative management, he underwent VATS bullectomy with talc (medical grade, 5 Gm) pleurodesis. Postoperatively, air leak subsided and the lung expanded; the patient was discharged on the third postoperative day after chest tube removal. The patient remained asymptomatic on regular follow up for a period of two years, during which imaging showed no recurrence of pneumothorax.
Figure 1: A mucous extractor attached to a CO2 insufflator.

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[Additional file 1]

Vaporizing talc using a mucous extractor on an insufflator is cheap and effective and can have a vast implication by replacing a much costlier alternative, the atomizer.

Conflicts of Interest: None.ss


    Figures

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