Journal ArticleDOI
Thoracoscopic debridement and pleural irrigation in the management of empyema thoracis
P.D. Ridley,Mark V. Braimbridge +1 more
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TLDR
Thoracoscopic debridement and irrigation used routinely as a first-line measure in empyema thoracis is a safe and relatively atraumatic procedure, does not exclude the use of any subsequent surgical measure, and provides valuable time to improve the condition of debilitated patients so that they may tolerate more aggressive surgical procedures.About:
This article is published in The Annals of Thoracic Surgery.The article was published on 1991-03-01. It has received 132 citations till now. The article focuses on the topics: Empyema & Therapeutic irrigation.read more
Citations
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Journal ArticleDOI
A Randomized Trial of Empyema Therapy
TL;DR: In patients with loculated, complex fibrinopurulent parapneumonic empyema thoracis, a primary treatment strategy of VATS is associated with a higher efficacy, shorter hospital duration, and less cost than a treatment strategy that utilizes catheter-directed fibrinolytic therapy.
Journal ArticleDOI
Thoracoscopy--state of the art
TL;DR: Medical thoracoscopy is a safe procedure which is even easier to learn than flexible bronchoscopy and should be applied increasingly in the management of the above-mentioned pleuropulmonary diseases.
Journal ArticleDOI
Parapneumonic effusion and empyema
H Hamm,Richard W. Light +1 more
TL;DR: There is a considerable variation in the aggressiveness and course of parapneumonic effusions, and the spectrum of the appropriate therapy may vary from a conservative approach in uncomplicated effusions to aggressive surgical intervention in advanced multiloculated empyemas.
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A New Classification of Parapneumonic Effusions and Empyema
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Thoracoscopy for empyema and hemothorax.
Rodney J. Landreneau,Robert J. Keenan,Stephen R. Hazelrigg,Michael J. Mack,Keith S. Naunheim +4 more
TL;DR: Video-assisted thoracic surgery (VATS) has been highly successful in the early management of empyemas and hemothoraces and conversion to open thoracotomy must always be anticipated, especially when approaching chronic empymas.
References
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Journal ArticleDOI
Bacteriology of empyema.
TL;DR: The results demonstrate the need for careful transport and processing of pleural-fluid specimens to ensure recovery of oxygen-sensitive forms in patients with empyema fluid.
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Modern management of adult thoracic empyema.
TL;DR: It is suggested that chest tube drainage is often inadequate and more aggressive management is likely to result in fewer treatment failures and fewer total procedures.
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Treatment of spontaneous bacterial empyema thoracis.
A K Mandal,H Thadepalli +1 more
TL;DR: Conservative therapy, such as thoracentesis, antibiotics directed against anaerobic bacteria, and intercostal tube drainage, was adequate to achieve clinical and physiologic resolution in about two thirds of all patients with primary bacterial empyema.