Abstract:
:The timing of surgical treatment of empyema remains controversial. Traditionally, thoracotomy is performed either within three weeks of diagnosis or delayed until presumed pleurodesis occurs. Often, these patients are moribund and the duration of illness impossible to determine. We report our surgical results in seven patients with a deteriorating clinical course and multiple loculations which persisted after tube thoracostomy and would not have responded to multiple thoracostomies. Five patients required decortication. One required lobectomy for an abscess which developed on the contralateral side six weeks after discharge. There were no deaths or recurrences of empyema. Average times from surgery to tube removal and to discharge were six to 12 days, respectively. We conclude that one can safely and cost-effectively treat these patients surgically even when the duration of illness and presence of pleurodesis are unknown, and that the postoperative course will be uncomplicated.
journal_name
Chestjournal_title
Chestauthors
Hoover EL,Hsu HK,Ross MJ,Gross AM,Webb H,Ketosugbo A,Finch Pdoi
10.1378/chest.90.4.511subject
Has Abstractpub_date
1986-10-01 00:00:00pages
511-5issue
4eissn
0012-3692issn
1931-3543pii
S0012-3692(15)42763-1journal_volume
90pub_type
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