Malignant Mesothelioma

Pleurodesis
Pleurodesis is a process that is sometimes used to control the pleural effusion or concentration of fluid between the lung and the overlying layer. Pleurodesis can close the spaces between the lungs and the outer layer, thereby reducing the possibility of accumulation of fluids.

There are two methods of pleurodesis. In the first, a tube inserted into the chest drain fluid. After the fluids are drained, injected a sclerosing agent (a material that causes the tissue to heal and harden), such as a sterile powder such as talc, through the chest tube into the pleural space. The sclerosing agent distributes itself over time, while the patient is asked to move to allow better distribution of the agent. Once this is accomplished, is connected to a suction tube and inserted tube. The suction causes the two pleural layers are assembled, as it happens by collapsing a plastic bag, and this allows the two layers heal together.

The second method uses a thoracoscopic pleurodesis, in which a small incision or several small incisions in the skin and a thoracoscope is inserted through the same, to get a better picture of the pleura. The sclerosing agent is then applied.

Pneumonectomy
A pneumonectomy is the removal of part or all of the lungs. The surgeon makes an incision on one side of the chest. When the lung is found, the surgeon watches the tumor and then decide how much tissue should be removed.

Extra Pleural Pneumonectomy
This surgery usually involves removal of the pleura, diaphragm, pericardium and the entire lung cancer tumor side. The surgeon might also remove some of the surrounding tissues.