Chemical pleurodesis by talc, betadine and glucose in treatment of resistant pleural exudates

Chemical pleurodesis is widely used at treatment the malignant pleural exudates for suppression the exudation and obliteration of pleural cavity. From 2009 to 2014 it was treated 275 patients with pleural exudates of various ethiology. The long current or pleurisy, resistant to therapy, to which carried patients with large volumes of exudation on drainages more than 7 days, are diagnosed for 93 patients (35,6%). Intraoperationally to 62 patients at videothoracoscopy is executed pleurodesis by talc and to 15 patients with trichloroacetic acid. Efficiency of pleurodesis made 87,1%. At resistant pleurisy to 13 patients made pleurodesis introduction to drainage of 10% solution betadine and 40% solution of glucose. At all patients the exudation was suppressed within 3-4 days. Changes of pulse and arterial pressure is not noted, intensity of pain corresponded 3,2 points on ten-mark scale. Intraoperative pleurodesis with talc and pleurodesis introduction to drainage of solutions of betadine and glucose at resistant pleurisy serve as effective ways of treatment of pleural exudates.