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Pleuroperitoneal Shunt - Mesothelioma surgery
Pleuroperitoneal shunting is one of the most important surgical procedures used while treating mesothelioma. During this procedure the catheter is tunneled subcutaneously towards peritoneal cavity through the pleural space.
The patient can control the pleural fluid drainage out of the affected hemithorax thanks to the interposed manual pump and one-way valve. This procedure is tolerated satisfactorily and it produces an excellent palliation against malignant effusion recurrence. The occlusion of the catheter may only cause some difficulties.
The development of bowel obstruction preceded by the fast mesothelioma advancement to the abdomen is thought to be another problem, though it exists only in theory, brought out of anecdotal reports. The patients suffering recurrent, symptomatic pleural effusions within the area of a tapped lung can consider outpatient external fluid drainage through a semipermanent intrapleural catheter a good possibility of treatment.
The patients who had poor results in chemical pleurodesis, chemotherapy, or radiation therapy were subjected to pleuroperitoneal shunting. The patients having a trapped lung can get an effective palliation from pleuroperitoneal shunting, as well as other patients who had poor results in their treatments.
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