Comparative Morphological Efficiency Different Methodics of Pleurodesis by Hydrogen Peroxide Solutions and Talc

Abstract


Relevance Currently, the choice of effective and safe means for chemical pleurodesis is an urgent problem in the surgical treatment of spontaneous pneumothorax.
Objective The purpose of our research was to compare the effectiveness of various methods of pleurodesis in the experiment based on the macro and microscopic study material.
Materials and methods We used laboratory rats of the WISTAR line, weighing 180 grams, 200 individuals in the experiment. They were divided into three experimental groups and a control group of 50 rats each. Spontaneous pneumothorax was simulated on one side of the thorax of rats. One of the chemical agents was used in three experimental groups for carrying out the pleurodesis. The animals were observed and sacrificed in groups on days 3, 5, 7, 10, 30 of the experiment. Next, macro and microscopic changes in the lungs and adjacent tissues were described and compared. Regression models were constructed for the change in the number of free cell populations in the lung tissue during the process of analyzing data.
Results and its discussion The use of a 6% solution of hydrogen peroxide causes the formation of persistent pleural adhesions with a shorter duration and severity of the inflammatory process in comparison to the analogues. Regression models of the dynamics of the free cellular composition of the pulmonary stroma were created with the aim of predicting the adhesion process.
Conclusions The findings suggest that 6% solution of hydrogen peroxide have the maximum efficiency as a chemical agent for pleurodesis.


Mikhail Sergeevich Izyumov

Author for correspondence.
mihail-izyumov@mail.ru
http://vrngmu.ru
N. N. Burdenko Voronezh State Medical University
Russian Federation, 10 Studencheskaya Str., Voronezh, 394036

surgeon, Chair of Hospital Surgery

Viktor Viktorovich Bulynin

dr.bulinin@mail.ru
http://vrngmu.ru
N. N. Burdenko Voronezh State Medical University
Russian Federation, 10 Studencheskaya Str., Voronezh, 394036

MD, Chair of Hospital Surgery

Andrew Mikhailovich Bobrovskikh

dr_Bobr2000@mail.ru
http://vrngmu.ru
N. N. Burdenko Voronezh State Medical University
Russian Federation, 10 Studencheskaya Str., Voronezh, 394036

PhD, Department of Pathological Anatomy

  • Plandovskii A. V. Ratsional'naia khirurgicheskaia taktika lecheniia
  • bol'nykh so spontannym pnevmotoraksom s ispol'zovaniem videotorakoskopicheskikh metodik. [Rational surgical tactics
  • of treatment of patients with spontaneous pneumothorax using videothoracoscopic techniques] The author's abstract of the
  • dissertation of the Candidate of Medical Sciences. Sciences . Minsk.2013; 25. (in Russ.)
  • Sigal E.I., Zhestkov K. G., Burmistrov. M. V., Pikin O. V.,Fedorov I. V. Torakoskopicheskaia khirurgiia.[Thoracoscopic surgery] M. 2012;325. (in Russ.)
  • Filonenko D. V. Plevrodez opukholevykh plevritov s ispol'zovaniem binarnykh kataliticheskikh sistem. [Pleurodesis of tumor pleuritis with the use of binary catalytic systems] The author's abstract of the dissertation of the Candidate of Medical Sciences. Moscow. 2013; 117.(in Russ.)
  • Alar T, Ozcelik C. Single incision thoracoscopic surgery of pleural
  • effusions for diagnosis and treatment. Surg Endosc. 2013; 27: 4333–6.
  • Bobbio A, Dechartres A, Bouam S. Epidemiology of spontaneous
  • pneumothorax: gender-related differences. Thorax. 2015; 70: 653 8.
  • Cubuk S, Cufari M. E. The ways to increase the effectivity of pleurodesis. Interactive CardioVasc Thoracic Surgery. 2016.
  • Hallifax R.J, Yousuf A, Jones H.E, Corcoran J.P, Psallidas I,
  • Rahman N.M., Effectiveness of chemical pleurodesis in spontaneouspneumothorax recurrence prevention: a systematic review. Thorax.2015.
  • Hamada S, Okamoto N, Watanabe I, Tsukino M., Is pleurodesis with 50% glucose solution in patients with spontaneou pneumothorax safe. A case series. Elsevier. 2016.
  • Mineo T.C, Sellitri F, Tacconi F, Ambrogi V. Quality of life and outcomes after nonintubated versus intubated video thoracoscopic pleurodesis for malignant pleural effusion: Comparison by a case
  • matched study. J Palliat Med. 2014; 17: 761–8.
  • Yoon D.W, Cho J.H, Choi Y.S, Kim J, Kim H.K, Zo J.I, Shim Y.M. Predictors of survival in patients who underwent video-assisted thoracic surgery talc pleurodesis for malignant pleural effusion. Thorac Cancer. 2016.

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Copyright (c) 2017 Izyumov M.S., Bulynin V.V., Bobrovskikh A.M.

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