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Published on: March 30, 2017
Homemade talc spray atomizer dedicated to flexible-rigid pleuroscope
Viboon Boonsarngsuk1, Sabaithip Juthakarn, Wison Boonsarngsuk
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. bss-vb@hotmail.com
Background:
Thoracoscopic talc poudrage is the preferred technique for medical pleurodesis. However, commercial talc spray atomizers are not applicable with the flexible-rigid pleuroscope. Therefore, we developed a simple and cheap homemade talc spray atomizer dedicated to flexible-rigid pleuroscope.
Objective:
To describe the experience in performing talc poudrage using our homemade talc spray atomizer.
Methods:
A retrospective review was performed in 22 consecutive patients with symptomatic malignant pleural effusion undergoing thoracoscopic talc poudrage by our talc spray atomizer with the aim of performing a palliative pleurodesis.
Results:
Under direct flexible-rigid pleuroscopic guidance, we could instill talc throughout the pleural cavity with our talc spray atomizer in all cases. The median procedure time to instill the whole talc was 4 min 15 s. The successful pleurodesis was achieved in 77.3%.
Conclusions:
We have introduced a homemade talc spray atomizer dedicated to the flexible-rigid pleuroscope. Uniform distribution of talc could be achieved without additional port placement.

