Medical Thoracoscopy in Multiloculated and Organised Empyema

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Medical thoracoscopy in multiloculated and organised empyema.

agreed that there will be some patients in whom lysis of adhesions is not possible via medical thoracoscopy [5] , so close dialogue between medical thoracoscopists and thoracic surgeons remains key in pleural infection. This is, however, also important in nonempyematous septated effusions, and an early decision is needed as to whether VATS or decortication would be the optimal strategy [4–6] . ...

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Treatment of sonographically stratified multiloculated thoracic empyema by medical thoracoscopy.

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Is medical thoracoscopy efficient in the management of multiloculated and organized thoracic empyema?.

BACKGROUND Pleural empyema can be subdivided into 3 stages: exudative, multiloculated, and organizing. In the absence of clear septation, antibiotics plus simple drainage of pleural fluid is often sufficient treatment, whereas clear septation often requires more invasive treatment. OBJECTIVES The aim of this study was to report our experience and analyze the safety and efficacy of medical tho...

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BACKGROUND Empyema is the collection of purulent exudate within the pleural space. Overall, 36%-65% of patients with empyema cannot be treated by medical therapy alone and require surgery. Multiloculated empyema is particularly difficult to treat with percutaneous drainage. Therefore, we describe our experiences with early aggressive surgical treatment for rapid progressive multiloculated empye...

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ژورنال

عنوان ژورنال: Respiration

سال: 2013

ISSN: 1423-0356,0025-7931

DOI: 10.1159/000343620