Treatment of Chylothorax by Producing Pleurodesis Using Iodized Talc

Congenital chylothorax: report of unique case associated with ‘H’-type tracheo-oesophageal fistula

“…Experimental work in sheep which demonstrated a mean pressure of 3-5 mm of mercury in the thoracic duct (Hall et al, 1965) would tend to justify this approach. The use of talc to promote pleurodesis at the site of the fistula is recommended by Gingell (1965) and in our case the occurrence of the haemothorax may well have had a similar effect.…”

Usefulness of video thoracoscopy in the management of spontaneous and postoperation chylothorax

“…In 1965, Gingel et al [2] reported the efficacy of chemical pleurodisis in the treatment of spontaneous chylothorax. The usefulness of this procedure was later confirmed by Graham et al [4] using VATS.…”

“…However, methods and time of surgery are still controversial [1,8,15,18]. If talc pleurodesis is largely accepted as treatment for spontaneous chylothorax management of post-operation chylothorax still remains debatable [2,4]. Some authors prefer a conservative approach [6], whereas others suggest early aggressive surgical management [15,19].…”

Treatment of recurrent malignant pleural effusion by iodized talc pleurodesis

“…Iodized talc pleurodesis has been used at Sully Hospital for many years in the treatment of spontaneous pneumothorax (Smith and Rothwell, 1962) and chylothorax (Gingell, 1965). Its administration does not require expensive apparatus nor does it affect the haemopoetic system, as may occur with radioisotopes or alkylating agents.…”