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Eur J Cardiothorac Surg 1999;16:480-481
© 1999 Elsevier Science NL

How to do it

Easy pleurectomy with winding up of pleural flaps

Department of Thoracic and Cardiovascular Surgery, Sahlgrenska University Hospital, S-413 45 Gothenburg, Sweden

Corresponding author. Fax: +46-31-417-991
e-mail: leif.dernevik{at}sahlgrenska.se

The authors describe an effective method of performing apical pleurectomy by winding up large pleural flaps on the thoracoscopic forceps after delineating the borders of the pleurectomy with electrocautery. The method is preferred by the authors compared to abrasio of the parietal pleura or stripping the pleura in small pieces and is in their hands easier and quicker than the other methods.

Key Words: Pneumothorax • Pleurectomy • Pleurodesis • Thoracoscopy