Malignant pleural effusion is a common complication of primary and metastatic pleural malignancies. It is usually managed by drainage and pleurodesis, but there is no consensus as to the best method of pleurodesis.
Since tetracycline, talc slurry, iodopovidone, and bleomycin achieved comparable success rates in studies, the drug availability and cost are important factors in choosing a sclerosing agent in developing countries.
Povidone-iodine chemical pleurodesis (PICP) is a minimally invasive treatment used in treating pneumothorax or refractory pleural effusion with a high success rate and few complications, so it is expected to be the alternative method in treating pediatric chylothorax in recent years.
SURGICAL PROCEDURES
- ICU Stay: No
- HOSPITAL Stay: 3-4 days
- TOTAL Stay in TURKEY (range in DAYS*; unless any other complications!): 5 Days
GENERAL INFO
Before Surgery
- Consultations – (Preop – *(Only Anesthesia and Chest Diseases are preoperatively included in the total charges!): If needed!
- Blood Tests: Yes (Hemogram, Serology, Biochemistry, Blood type)
- Chest X-Ray: Yes
- Abdominal X-Ray: No
- PFT (Pulmonary Function Test): No
- V/Q Scan (Lung Ventilation / Perfusion Scan): No
- Chest and/or Abdominal CT Scan – *(If the patient have the CT scans already done, then no need to take additional CT scans preop): Yes – Preop evaluation (* Not included in the total charges)!
- PET / CT Scan (Positron Emisson Tomography): No
- MRI (Chest, Abdomen and/or Brain) – *(If the patient have the MRI already done, then no need to take additional MRI preop): No
- Bone Scan: No
- USG / Ultrasonography (Chest, Abdomen, and/or others) – (*Not included in the total charges!): Yes (For to find the right place to insert the pleurocan catheter on the chest)*
During- Surgery
- General Anesthesia: No
- Local/Regional Anesthesia: Yes – (*After premedication)
- Local Anesthesia + Sedation: If needed!
- Spinal / Epidural Anesthesia: No
- PCA (Patient Controlled Analgesia; Epidural or IV route! – *(Not included in the total charges!): If needed!
After Surgery
- HOSPITAL STAY after the ICU period, if ever:
- STAY AT HOTEL after being discharged from Hospital – *’Wound Dressing’ Everyday till the Control Day!
- First CONTROL Day! – *Get the Stitches removed, If ever!
- Discharged to HOME – *Take your prescription – DO NOT FORGET! – Patient generally could have “a safe flight to home” after the FIRST CONTROL!
- After – Surgery ( 3rd to 4th Weeks) – Needs CONSULTATIONS by “Medical AND Radiation Oncology Clinics”!
- Late – CONTROLS (1st -3rd – 6th – 12th -24th months in concordance with “the Medical & Radiation Oncology Departments Follow-ups”)!