In a recent video, Dr. Rishendran Naidoo, the Director of Cardiothoracic Surgery at The Prince Charles Hospital (TPCH), provides an in-depth look at pleurodesis, a medical procedure often performed to address specific lung conditions. Dr. Naidoo’s expertise offers valuable insights into what pleurodesis entails and the typical scenarios in which it is recommended.
Pleurodesis is a procedure designed to prevent the accumulation of fluid or air in the pleural space, the area between the lung and the chest wall. This space normally contains a small amount of fluid that allows the lungs to move smoothly during breathing.
During pleurodesis, a substance is introduced into the pleural space to create inflammation and scarring, which causes the lung to adhere to the chest wall. This adhesion eliminates the space where fluid or air could collect, thereby preventing further buildup and helping the lung remain fully expanded.
Dr. Naidoo explains that pleurodesis is commonly performed in cases of recurrent pleural effusion and pneumothorax. Pleural effusion, often referred to as “water on the lungs,” involves the buildup of excess fluid in the pleural space.
Pneumothorax, on the other hand, occurs when air enters the pleural space, causing the lung to collapse. This can happen spontaneously or because of trauma or lung disease.
Pleurodesis can be performed using different techniques, including chemical and mechanical methods. In chemical pleurodesis, a sclerosing agent such as talc, doxycycline, or a chemotherapy drug is introduced into the pleural space through a chest tube. This agent induces inflammation and scarring, promoting the adhesion of the lung to the chest wall.
Mechanical pleurodesis involves physically irritating the pleural surfaces to achieve the same effect. This can be done surgically, often using a thoracoscope, a small camera inserted through a chest incision to visualize and treat the pleural space.
Dr. Naidoo’s discussion on pleurodesis highlights the importance of this procedure in managing recurrent pleural effusion and pneumothorax. By understanding the purpose and process of pleurodesis, patients and their families can better appreciate the role it plays in improving respiratory function and quality of life. For those experiencing symptoms related to fluid or air buildup in the pleural space, consulting with a specialist like Dr. Naidoo can provide valuable guidance and treatment options.
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