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Uniportal Video-assisted Thoracoscopic Talc Pleurodesis in the Treatment of Malignant Pleural Effusions. Is Early Phase Talc Pleurodesis More Effective? 单门胸腔镜滑石胸膜固定术治疗恶性胸腔积液。早期滑石粉胸膜固定术更有效吗?

Online türk sağlık bilimleri dergisi Pub Date : 2023-09-06 DOI: 10.26453/otjhs.1315767

Yunus AKSOY, Abidin SEHİTOGULLARI

{"title":"Uniportal Video-assisted Thoracoscopic Talc Pleurodesis in the Treatment of Malignant Pleural Effusions. Is Early Phase Talc Pleurodesis More Effective?","authors":"Yunus AKSOY, Abidin SEHİTOGULLARI","doi":"10.26453/otjhs.1315767","DOIUrl":"https://doi.org/10.26453/otjhs.1315767","url":null,"abstract":"Objective: VATS talk pleurodesis is an effective method for palliatively treating malignant pleural effusion (MPE). This study aimed to compare early and late-phase talc pleurodesis procedures and to determine the factors affecting the success of the uniportal VATS talc pleurodesis procedure.  Materials and Methods: The data of 58 patients who underwent uniportal VATS talc pleurodesis due to MPE were analysed retrospectively. The patients were divided into two groups as early-phase talc pleurodesis (n=23, 48.3%) and late-phase (n=25, 51.7%). Groups were compared using Pearson chi-square test and Mann-Whitney U tests. Results: Complications developed in 10 patients (17.2%). No significant difference was found between the early-phase talc pleurodesis and the late-phase pleurodesis regarding complication rate (p=0.905), durations of hospitalisation (p=0.821). It was observed that the early-phase talc pleurodesis procedure had higher success than the late-phase talc pleurodesis procedure (Odds ratio=1.425, 95%CI=0.307-6.624), although not statistically significant (p=0.06). It was determined that 86% of the patients who underwent early talc pleurodesis had no hospital readmission due to MPE within the first 3 months.  Conclusion: Uniportal VATS talc pleurodesis is a safe and effective treatment method for malignant pleural effusion, with low complication and high success rates. Early-phase talc pleurodesis procedure significantly reduces recurrent hospitalisations.","PeriodicalId":481124,"journal":{"name":"Online türk sağlık bilimleri dergisi","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135098519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kronik Obstrüktif Akciğer Hastalarında Geleneksel ve Tamamlayıcı Tıp Yöntemi Kullanımının Değerlendirilmesi [tr] / Evaluation of Traditional and Complementary Medicine Uses in Chronic Obstructive Pulmonary Diseases Patients [en] 对慢性阻塞性肺病患者使用传统和辅助药物的评估 [en] / Evaluation of Traditional and Complementary Medicine Uses in Chronic Obstructive Pulmonary Diseases (en)

Online türk sağlık bilimleri dergisi Pub Date : 2020-03-31 DOI: 10.26453/otjhs.638683

P. Yıldız, Fatih Üzer, Ege Güleç Balbay

{"title":"Kronik Obstrüktif Akciğer Hastalarında Geleneksel ve Tamamlayıcı Tıp Yöntemi Kullanımının Değerlendirilmesi [tr] / Evaluation of Traditional and Complementary Medicine Uses in Chronic Obstructive Pulmonary Diseases Patients [en]","authors":"P. Yıldız, Fatih Üzer, Ege Güleç Balbay","doi":"10.26453/otjhs.638683","DOIUrl":"https://doi.org/10.26453/otjhs.638683","url":null,"abstract":"Amac: Kronik obstruktif akciger hastaliginda (KOAH) semptomlarin hafifletilmesinde Geleneksel ve Tamamlayici Tip (GETAT) yontemlerinin kullanimi giderek artmaktadir. KOAH hastalarinin GETAT yontemlerini kullanim durumlarinin belirlenmesini amacladik. Materyal ve Metot: Gogus hastaliklari poliklinigine Aralik 2018 ve Şubat 2019 tarihleri arasinda basvuran KOAH hastalari calismaya dahil edildi. Hastalara GETAT yontemleri hakkindaki egilimlerini olcen sorular yoneltildi, demografik verileri kaydedildi. Bulgular: Calismaya katilan 94 hastanin yas ortalamasi 65,6±10,0 (minimum: 42, maksimum: 84 yil) olup vakalarin %84’u erkek (n=79), %16’si (n=15) kadindi. Hastalarin %39,4’u (n=37) GETAT yontemlerinden birini kullandigini ve kullanan hastalarin %70,3’u (n=26) yarar gordugunu ifade etmislerdi. Bitkisel, apiterapi, apiterapi ve bitkisel tedavileri birlikte kullananlar ve aromaterapi yontem oranlari sirasiyla %73, %8,1, %10,8, %8,1 olarak bulundu. Hastalarin %82,2’sinin (n=74) GETAT yontemleri ile ilgili hekiminden bilgi almak istedigi goruldu. KOAH hastalari evrelerine gore ayrildiginda, ileri evre (evre 3-4) hastalarinin erken evre ( evre 1-2) hastalara gore GETAT yontemini daha cok kullandigi gozlendi (p=0,004). Sonuc: Saglik personeli tarafindan GETAT yontemlerini kullanim durumlarinin sorgulanmasi gerektigini dusunmekteyiz.","PeriodicalId":481124,"journal":{"name":"Online türk sağlık bilimleri dergisi","volume":" 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141219446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2