Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Pleuroperitoneal shunting for intractable pleural effusions.

R B Ponn1, J Blancaflor, R S D'Agostino

  • 1Department of Surgery, Hospital of Saint Raphael, New Haven, Connecticut.

The Annals of Thoracic Surgery
|April 1, 1991
PubMed
Summary

Pleuroperitoneal shunts effectively managed intractable pleural effusions in patients, offering significant symptomatic relief and improving quality of life when other treatments failed. This intervention allowed for hospital discharge and palliation of dyspnea.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Abstracts of presentations to the Annual Meetings of the Canadian Society of Colon and Rectal Surgeons Canadian Association of General Surgeons Canadian Association of Thoracic Surgeons: Canadian Surgery Forum, Toronto, Ont., September 6-9, 2007.

Canadian journal of surgery. Journal canadien de chirurgie·2023
Same author

Intraocular tuberculosis.

Archivos de la Sociedad Espanola de Oftalmologia·2017
Same author

Choroidal metastasis from breast cancer.

Archivos de la Sociedad Espanola de Oftalmologia·2016
Same author

Fragmentation and high entropy of neonatal experience predict adolescent emotional outcome.

Translational psychiatry·2016
Same author

The design and conduct of clinical trials to limit missing data.

Statistics in medicine·2012
Same author

Transcrural coeliac plexus block simulated on 200 computed tomography images.

British journal of anaesthesia·2011

Area of Science:

  • Thoracic Surgery
  • Interventional Pulmonology
  • Palliative Care

Background:

  • Intractable pleural effusions, often malignant, present significant management challenges.
  • Severe trapped lung and synchronous ascites are common complicating factors.
  • Limited treatment options exist for patients with refractory effusions.

Observation:

  • Pleuroperitoneal shunts were implanted in 17 patients with intractable pleural effusions (15 malignant, 2 benign).
  • Complications included severe trapped lung (13 patients) and synchronous ascites (3 patients).
  • One hospital death occurred; palliation of dyspnea at rest was achieved in all patients.

Findings:

  • Shunt occlusion occurred in 4 patients (1-10 months post-placement), with 2 requiring revision.

Related Experiment Videos

  • Remaining shunts functioned for 1-28 months, providing sustained palliation.
  • Hospital discharge and symptomatic relief were achieved in patients refractory to other therapies.

    • Implications:

    • Pleuroperitoneal shunting is a viable option for refractory pleural effusions.
    • This technique offers significant palliation and improved quality of life.
    • Shunting can be a life-extending and comfort-providing intervention.