Frontiers in Respiratory Medicine

Author(s): Ioannis Psallidas, Maged Hassan and Najib M. Rahman

DOI: 10.2174/9781681085913117010017

Medical Pleuroscopy

Pp: 276-290 (15)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

In recent years, an increasing trend has been recognized in the number of centers performing medical thoracoscopy across the world, mainly as a gold standard investigation for undiagnosed exudative effusion. It is a particularly useful diagnostic and therapeutic tool with a very low rate of complications that should be incorporated in the respiratory physicians’ armamentarium. Pleural biopsies under direct vision, therapeutic evacuation of effusions, and pleurodesis can be performed in one sitting. This chapter summarizes the important literature relating to the equipment, clinical indications, safety, complications and technical aspects of the procedure. We also aim to inform the reader regarding the latest research advances and potential areas of that MT will have a role in the future.

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