Open drainage for chronic empyema thoracis; clarifying misconceptions by report of two cases and review of literature
| Autor: | Ndubuisi Anumenechi, Vincent I Odigie, Sunday A Edaigbini, Lawal Khalid, Aliyu D Ibrahim |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Multidisciplinary Lung Pleural effusion business.industry medicine.medical_treatment respiratory system Decortication medicine.disease Trapped lung Chronic empyema Empyema thoracis respiratory tract diseases medicine.anatomical_structure Pneumothorax medicine Drainage Intensive care medicine business |
| Zdroj: | Archives of International Surgery. 3:161 |
| ISSN: | 2278-9596 |
| DOI: | 10.4103/2278-9596.122972 |
| Popis: | Empyema thoracis is quite appreciated as a purulent pleural effusion. The basis for open drainage as an option for the treatment of chronic empyema thoracis is that the lung is trapped beneath a thickened and fibrosed visceral peel, which stabilizes and shields the trapped lung from the possible effect of pneumothorax when such a lung is exposed to the atmosphere either deliberately or accidentally. This is often unappreciated by many clinicians especially those with limited experience. From first principles, pus anywhere requires drainage and this applies equally to pleural space pus. Since these patients are often unfit for stressful procedures like decortication or the underlying lung is often unhealthy and will fail to expand or would be seriously violated in an attempt to free it, open drainage provides a safe and suitable option for the treatment of this pathology. We present the successful management of two patients by this approach as well as the review of literature in this respect. |
| Databáze: | OpenAIRE |
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