Empyema Thoracis- Our Ten Years Experience.
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Date
2015-07
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Abstract
Empyema still remains one of the serious problems and challenge for a thoracic surgeon , despite the wide
spread use of antibiotics and other surgical modalities its treatment is controversial with or without bornchpleural
fistulae. Our experience in 200 patients of empyema with or without bronchopleural fistula was
retrospectively reviewed. The causes of empyema were as follows. Parapneumonic (n=140), post tubercular
empyema (n=20), following trauma (n=16), Post surgical (n=10), subdiaphragmatic pathology (n=2),
oesophageal rupture (N=5) and underdetermined + 17. Broncho- pleural fisyula was found to be present
in 20 % of these patients. Therapeutic thoracentesis was carried out successfully in 22 patients and closed
tube thoracostomy in 178 patients and success was obtained in 89 patients (50 %) decortication alone in 60
patients (30 %). Thoracoplsty with muscle with muscle flap interposition in n=13, open drainage with rib
resection (Eloesser flap) in ten patients , six patients refused any surgical intervention .
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Keywords
Empyema, Pleural, Thoracotomy, Elloser Flap
Citation
Noor Ali, Vivek Gandotra, Gurjit Singh. Empyema Thoracis- Our Ten Years Experience. JK Science Journal of Medical Education and Research. 2015 Jul-Sept. 17(3): 143-145.