Effect of Medical Thoracoscopy Guided Pleural Biopsy for Diagnosis of Moderate to Massive Exudative Pleural Effusion | Chapter 5 | Advanced Concepts in Medicine and Medical Research Vol. 10

This branch highlights about the value of healing thoracoscopic guided parietal pleural surgical procedure in the etiological diagnosis of exudative moderate to massive pleural effusions at a country tertiary care centre of northward India. Medical thoracoscopy has been proved to be an efficient procedure in diagnosing unexplained exudative pleural effusions accompanying excellent security. Pleural biopsy under direct vision maybe successfully and carefully used for etiological diagnosis. This was a cross divided study conducted in male and female inmates between 18 to 70 years adult of undiagnosed and moderate to massive exudative pleural effusions. Undiagnosed pleural outpouring was defined as failure to obtain a diagnosis by primary pleural fluid analysis including pleural fluid adenosine deaminase (ADA) levels <70 U/L and not completely three pleural fluid analysis negative for diseased cells. The study was conducted upon 90 sufferers with exudative moderate to massive pleural outpouring, who necessary intercostal drainage (ICD) for management. Exudative pleural effusions were likewise smear negative for acid fast bacterium (AFB) and malignant cytology.Thoracoscopic pleural examples were diagnostic in 86 cases out of a total 90 patients (95.5%). Histopathological test of thoracoscopic specimens disclosed, Malignancy- in 31 cases (34.4%), Inflammatory 28 (31.11%), Infection in 25 patients (27.8%) and Sarcoidosis in two cases (2.22%). Four cases (4.4%) were still inconclusive on histopathology. Thus, thoracoscopic pleural examination is considered golden standard in diagnosis of malignant pleural outpouring and tubercular pleural outpouring. The safety and diagnostic yield of a healing thoracoscopic guided pleural surgical procedure are both good. Therefore, doctors endure only use it after taking the appropriate training.

Author(s) Details:

Aditya Kumar Gautam,
Department of Respiratory Medicine, U P University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.

Adesh Kumar,
Department of Respiratory Medicine, U P University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.

Ashish Kumar Gupta,
Department of Respiratory Medicine, U P University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.

Somnath Bhattacharya,
Department of Respiratory Medicine, U P University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.

Prashant Yadav,
Department of Respiratory Medicine, U P University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India.

Suryakant,
Department of Respiratory Medicine, King George Medical University, Lucknow, Uttar Pradesh, India.

Please see the link here: https://stm.bookpi.org/ACMMR-V10/article/view/12819