The diagnosis of pleural diseases is one of the frequent clinical problems. Despite a
variety of diagnostic tests are available for evaluating pleural effusions, approximately 15–
20% of pleural effusions remains undiagnosed, In this cases ,a thora
coscopy plays an
important role, it permits the surgeon to visually view and evaluate the entire pleural space
,and to obtain enough accurate biopsies from suspected areas. This study aims to evaluate
the effectivenes of Video Assisted
Thoracoscopic surgery (VATS) in diagnosis of pleural effusions.
Between June 2012 and June 2015 we performed 38diagnostic thorososcopy for
undiagnosed pleural effusions. The histopathologic studies of pleural biopsies result were
as follows : )%60,5 ( malignancies,)%31,6 ( TB And )%7,9 ( nonspecific inflammatory
reaction.
The malignant diseases are: Mesothelioma )%60,9(, Metastases of adenocarcinoma
)%30,4(,Lymphoma )% 8,7(
4 Complications ,with no mortality.
Conclusion: Video Assisted Thoracoscopic Surgery is a safe and accurate diagnostic
procedure for pleural diseases but it also has a very useful role in therapy.(VATS) saves
time, effort and cost, more over it is preferred by the patient as he recovers and returns to
his normal activity rapidly.
Pleural effusion is a common clinical condition. Congestive heart
failure (CHF) is the most frequent cause of pleural effusions, which typically
are transudates, but occasional patients with CHF are found to have
exudates in the absence of an appa
rent cause other than CHF, and the
presence of CHF does not always explain exudative effusions in those
patients. We aimed to determine the incidence, clinical significance of such
exudative effusions and to study the effects of diuretics on characteristics of
pleural fluid in patients with CHF accompanied with pleural effusion.
Malignant Pleural Effusion is a common complication of advenced malignancies،
Particularly lung and breast cancer. Many patients experience considerable
dyspnea shortness of breath، dry cough and chest pain، wich decisively reduces
their capacity
for physical activity and their quality of life. Between 1995 – 1998.
39 cases with malignant pleural effusion were treated. Pleurectomy was
performed in 4 cases .The lung was trapped in 5 cases.Pleurodesis with talc slurry
for 25 cases، with Tetracyclin for 4 cases and with Bleomycin for one case were
performed. 73% - of these cases had positive results (decrease the dyspnea، no
effusion) during 1st month .and 66،6% had positive results too during 3 months.
So ،Pleurodesis is an effective and ، simple method of manegement of malignant
Pleural effusion It has also low cost and low complications.
