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    In our study, 44 men (73.3%) and 16 women (26.7%) were included with an age range between 41 and 65 years with a mean of 54.2 years. Cases were classified according to the amount of pleural fluid into following: Cases with minimal pleural effusion were not included in this study.[Table 1] illustrates the relation between the amount of effusion with the rate of success of the procedure, complications and the need to repeat the pleurodesis session. The sclerotherapy procedure was successful in 46 out of 60 cases (76.7%); the success rate was 72.2% in massive effusion and reached 83.3% in moderate effusion with no significant difference between the two groups (P 0.05). A total of 26 patients (43.3%) had to repeat the procedure for a second time, 14 of which (23.3%) failed despite the second trial, and 12 cases (20%) showed no fluid reaccumulation. Out of the 14 patients with unsuccessful pleurodesis, eight cases presented with mild to moderate encysted pleural effusion below the initial presentation and did not require thoracentesis for respiratory distress. In the other six cases, fluid reaccumulation reached the level of initial presentation and required thoracentesis for respiratory distress. Mean presclerotherapy serum albumin level (1 day before pleurodesis) was 3.02 ± 0.271 g/dl in cases with successful pleurodesis, with no significant difference (P Traditional treatment of hepatic hydrothorax in a patient who fails to respond to aggressive medical management of ascites remains problematic and controversial. Ultrasound-guided pleurodesis with doxycycline in patients with. Talc Should Be Used for Pleurodesis American Journal of. Definition of Pleurodesis - MedicineNet
     
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