geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Surgical treatment for chronic pleural empyema


, : Surgical treatment for chronic pleural empyema. Surgery Today 30(6): 506-510

Various surgical procedures have been developed in an attempt to alleviate the significant problems caused by chronic pleural empyema. The present study evaluates our 11-year experience of employing a number of therapeutic approaches for chronic empyema. Between 1987 and 1997, 45 consecutive patients underwent treatment for chronic empyema at our hospitals. They comprised 21 patients (47%) presenting with post-tuberculosis, 11 (24%) receiving cancer therapy including pulmonary resection, and 13 (29%) with postpneumonic empyema. Omentopexy, lung resection, and thoracoscopic surgery were performed in 10 (22%), 5 (11%), and 4 (9%) patients, respectively. Poor results of treatment were observed in two of the patients with post-tuberculous empyema, and three of the patients treated for cancer died of recurrence. The other 40 patients remain symptom-free. An improvement in quality of postoperative life was revealed by the exercise test rather than by static spirometry. Optimal therapy for chronic empyema requires selection of the most appropriate first and staged procedures for each patient. Moreover, lung resection should be minimal. In a critical state, open thoracostomy must be performed as the first procedure, while omentopexy or thoracoplasty should be restricted to selected cases. Dead space and minor air leakage may safely be left behind. A video-assisted procedure can be selected for postpneumonia empyema.

US$19.90

PMID: 10883460

DOI: 10.1007/s005950070116


Other references

Durell, J.; Archer, E.G., 1976: Plasma proteins in schizophrenia: a review. Schizophrenia Bulletin 2(1): 147-159

Vickery, H.B., 1950: The origin of the word protein. The word protein was first used in 1838 by Mulder to denote the complex organic radical which is present in combination with S and P in the proteins as they occur in nature. It has been commonly assumed that Mulder himself originated this term, bu...

E.M.hdy, R.M.; Abd E.D.im, Y.A.; Abd E.R.zik, F.; Ebrahiem, A.A.M., 1998: Physicochemical and functional properties of some sources of dietary fibre. The chemical properties of several fibre sources (sunflower heads, Jew's mallow plant parts, globe artichoke bracts, pea hull pods and bean husks) were examined and compared with those of wheat bran.

Bonnington,C.; Weaver,D.; Fanning,E., 2008: The habitat preference of four kingfisher species along a branch of the Kilombero River, southern Tanzania. This study was conducted to compare the habitat preferences of four African species of kingfisher: Giant (<i>Ceryle maxima</i>), Half-collared (<i>Alcedo semitorquata</i>), Pied (<i>C. rudis</i>) and Malachite (...

Kruse-Jarres, R.; Quon, D.; Schramm, W.; Dolan, G., 2012: Management of bleeding disorders in the elderly. We are entering a new phase in the management of patients with bleeding disorders such as haemophilia. This is the result of the positive effects that disease management strategies have had on patient longevity over the last 10-15 years. A greater...

Wang, H.; Liu, C.; Cheng, J.; Liu, J.; Zhang, L.; He, C.; Shen, W-Hui.; Jin, H.; Xu, L.; Zhang, Y., 2016: Arabidopsis Flower and Embryo Developmental Genes are Repressed in Seedlings by Different Combinations of Polycomb Group Proteins in Association with Distinct Sets of Cis-regulatory Elements. Polycomb repressive complexes (PRCs) play crucial roles in transcriptional repression and developmental regulation in both plants and animals. In plants, depletion of different members of PRCs causes both overlapping and unique phenotypic defects....

Vollenweider R.A., 1975: Input-output models with special reference to the phosphorus loading concept in limnology. Schweizerische Zeitschrift fuer Hydrologie 37(1): 53-84

Kiessling, A.J., 1961: Treatment of geriatric patients with etryptamine acetate. A marked improvement occurred in 21 depressed residents of a home for the aged, whose average age was over 80 years, when given dl-[alpha]-ethyltryptamine. Initial nausea and vomiting occurred in 4, and a skin rash in one.

Fujita, Y.; Kouda, K.; Nakamura, H.; Iki, M., 2015: Inverse association between height increase and LDL cholesterol during puberty: A 3-year follow-up study of the Fukuroi City. Few studies have reported on the association between changes in serum low-density lipoprotein cholesterol (LDL-C) and height increase. We investigated the association between LDL-C change and height increase during puberty in a 3-year follow-up st...

Pascal, Christophe, 2008: The biggest break-up. Nature Geoscience 1.8