[Pneumothorax: indications for thoracoscopic talc insufflation]

Abstract

Recurrent spontaneous pneumothorax and a persistent air-leakage after three days of suction therapy are two major indications for thoracoscopy. This procedure allows coagulation of blebs and cutting of pleural adhesions as well as identification of patients with large emphysematous bullae which should be treated surgically pleurectomy. Insufflation of talcum is safe and effective in achieving definitive pleurodesis.