Retrospective study to evaluate the results of medical thoracoscopy in diagnosis of exudative pleural effusion at chest department El-Hussein university hospital in the period from July 2013 to July 2018
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 5
Abstract
<span>Background: </span><span>Thoracoscopy is a minimally invasive procedure that allows visualization of the pleural space and intrathoracic structures. It enables taking pleural biopsies under direct vision, therapeutic drainage of effusions, and pleurodesis in one sitting. Persistent and recurrent exudative pleural effusions become common and thoracocentesis and blind pleural biopsy procedures do not give a definitive diagnosis in many patients. Therefore, thoracoscopy today remains the gold standard for these cases. In tuberculous pleuritis, the combined yield of histology and culture for rigid thoracoscopy was nearly 100%.<br /> </span><span>Objective: </span><span>This study was carried out to analyze our five years experience of medical thoracoscopy in the management of undiagnosed exudative pleural effusion at chest department El-Hussein University Hospital. </span><span>Materials and Methods: </span><span>All patients with undiagnosed exudative pleural effusion who underwent thoracoscopy during the period between July 2013 to July 2018 at Al Hussein University Hospital were included in the study. All patients were subjected to thorough history taking, clinical examination, routine laboratory investigations, pleural fluid analysis and medical thoracoscopy with multiple pleural biopsies. All patients data, thoracoscopy results and complications were recorded.<br /> </span><span>Results: </span><span>Thoracoscopy was successful for giving final diagnosis in 122 patients (84.13%) from total 145 patients. Malignancies reported in 113 patients (77.9%) of patients and TB reported in 6.2% of patients. Mesothelioma was the most common diagnosis in 67 patients(46.2%) Minor complications occurred only in 14 out of 145 patients (9.65%), 4 patients (2.8%) developed cellulitis, 8 patients (5.5%) developed surgical emphysema, and 2 patient (1.4%) developed bleeding.<br /> </span><span>Conclusion: </span><span>Medical thoracoscopy is an easy, safe procedure with high diagnostic sensitivity for pleural effusion of uncertain etiology. </span>
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584175
- DOI 10.12816/ejhm.2018.9525
- Views 110
- Downloads 0
The Identification of Recurrent Laryngeal Nerve by Injection of Blue Dye into the Inferior Thyroid Artery
Background: Thyroidectomy creates a potential risk for injury of the recurrent laryngeal nerve (RLN). The identification and dissection of the RLN is the gold standard for preserving its function. Aim of the work: was to...
Role of S-Iron and Ferritin to Predict the Response to Recent New Antiviral Treatment in Chronic Hepatitis C Patients
<strong><span lang="EN-US">Background: </span></strong><span lang="EN-US">Chronic hepatitis C (CHC) is an important liver disease, which may progress to cirrhosis or hepatocellular carcinoma. The current treatment regime...
Intracytoplasmic Sperm Injection Outcome in Patient at Risk of Poor Responder Using Mild Ovarian Stimulation Protocol versus Short Gonadotropin Releasing Hormone Agonist Protocol
<span>Background: </span><span>Poor ovarian response to stimulation in IVF cycles is a challenging and frustrating condition for both clinician and patient, due to its poor prognosis in terms of pregnancies and live birt...
Predictors of Diabetes Mellitus Type 2 Control Abdullah Talal Almalki and Faisel Ahmed Albalawi
Background: successful treatment of patients with type 2 diabetes mellitus (DM) is achieved by having a HbA1C of<7%. Objectives: to determine the factors that affect successful control of diabetes mellitus type 2 at Diab...
Incisional Hernia Repair with Abdominoplasty
<strong>Background: </strong>Abdominoplasty is considered by many general surgeons as only an aesthetic technique. It has shown to provide great benefits for patients: (1) removal of excessive skin, which promotes better...