[HSF] Pleural effusion following peritoneal dialysis

[nand kejriwal]

Thanks Ed

Would you simply do a talc pleurodesis or should I mechanically abrade the
parietal pleura at the same time? I am a bit concerned about the bleeding in
view of uraemia.

Nand


On 10/31/06, DukeB60 at aol.com <DukeB60 at aol.com> wrote:
>
> Nand,
>    I would echo the opinion of those who suggest these  communications are
> hard, if not impossible, to find.  The hole can indeed  be microscopic and
> not
> only hard to find but very difficult to close  effectively.  I think some
> people just can't do peritoneal dialysis for  this reason.  Of coarse, you
> can try
> to find a defect via VATS by  instillation of methylene blue in the
> dialysate
> while you are looking with the  scope but even then be prepared to fail.
>
>
>              Ed
>
> Edward P.  Raines, M.D., J.D.
> BryanLGH Cardiothoracic Surgery
> BryanLGH Medical Center  East
> 1600 South 48th Str.
> Lincoln, Nebraska 68506
> Office:  402-481-8430
> Cell: 402-730-9242
> Fax:  402-481-8429
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