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Pleural Biopsy and Drainage

This page will give you information about a pleural biopsy and drainage. If you have any questions, you should ask your GP or other relevant health professional.

What is a pleural biopsy and drainage?

A pleural biopsy involves removing a small piece of tissue from the lining of your chest. Usually your doctor will also take a sample of fluid from the space between your lung and ribcage (called the pleural space) (see figure 1). If a lot of fluid has collected, your doctor will drain the fluid.

The tissue and any fluid that your doctor removes will be examined under a microscope to help explain why the fluid has collected and to decide on any further treatment.

pleural biopsy and drainage 1

Are there any alternatives to a pleural biopsy and drainage?

An x-ray or scan can show that you have fluid and your doctor can drain any fluid using a needle. It is possible to perform a lung biopsy or a transbronchial biopsy.

What does the procedure involve?

Your doctor may offer you a sedative to help you relax.

A pleural biopsy and drainage usually takes less than twenty minutes. It involves making a cut and then placing a biopsy instrument through the cut.

Your doctor will use a biopsy instrument to take biopsies and drain any fluid.

What complications can happen?

  • Pain
  • Breathlessness, chest tightness or worsening cough
  • Allergic reaction
  • Pneumothorax
  • Bleeding from a biopsy site
  • Infection in the pleural space

How soon will I recover?

You should be able to go home after a few hours.

A member of the healthcare team will discuss with you any treatment or follow-up you need.


You should be able to go back to work the day after the procedure unless you are told otherwise.

Summary

A pleural biopsy and drainage is usually a safe and effective way of finding out why fluid is collecting in the space between your lungs and ribcage, and treating your symptoms.

Acknowledgements

Author: Dr David Baldwin MD FRCP

Illustrations: Hannah Ravenscroft RM

This document is intended for information purposes only and should not replace advice that your relevant health professional would give you.

 

Copyright © 2008 EIDO Healthcare Limited

 

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