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Updated: May 31, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Suitable device for thoracoscopic talc poudrage in malignant pleural effusion
Andrea Billè1, Piero Borasio, Mara Gisabella
1Department of Clinical and Biological Sciences, Thoracic Surgery Unit, San Luigi Hospital, University of Turin, 10043 Orbassano (Turin), Italy. andrea_bille@hotmail.it
Abstract:
Chemical pleurodesis is widely used in symptomatic patients with malignant pleural effusion to relieve symptoms, prevent fluid recurrence, and improve quality of life. Talc has been repeatedly found to be the most effective sclerosant agent, and thoracoscopic talc poudrage has been found to be the most effective pleurodesis technique. A homogeneous talc distribution on the visceral and parietal pleura helps to achieve complete pleural symphysis. We have recently adopted a new suitable sterile device that delivers talc under low and constant pressure, facilitating uniform coating of the whole pleural surface and avoiding inappropriate deposition of talc clumps.
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