Postpneumonectomy empyema

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Prophylaxis of postpneumonectomy empyema.

Systemic antibiotics started before operation have been found to give inadequate prophylaxis against postpneumonectomy empyema in our practice. Experimental work by others has suggested that combining this treatment with topical irrigation and intrapleural antibiotics would give improved results. We have adopted this suggestion and found it to give better prophylaxis where pneumonectomy is asso...

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eComment: Re: What is the best treatment of postpneumonectomy empyema?

A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was whether an open surgical approach is superior to minimally invasive surgery in patients with postpneumonectomy empyema (PPE). Overall 171 papers were found using the reported search, of which 12 represented the best evidence to answer the clinical question. The authors, journal, ...

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Diagnosis and management of postpneumonectomy empyema with an Eloesser flap.

Postpneumonectomy empyema (PPE) is an uncommon and devastating complication of pneumonectomy, with substantial morbidity and mortality. The condition is characterized by pleural cavity infection and inflammation. This article focuses on the management of complicated and persistent PPE with a procedure called Eloesser flap placement, a type of open-window thoracostomy.

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Late onset postpneumonectomy empyema presenting 24 years after pneumonectomy.

Empyema is a devastating complication that is rarely seen in the postpneumonectomy setting. A 56-year-old man presented to us 24 years after pneumonectomy with a 15 days history of chest pain and shortness of breath. Physical examination revealed a fluctuant swelling at the thoracotomy site. Computed tomography scan showed a large fluid density mass in the left pneumonectomy space. Needle aspir...

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Treatment of postpneumonectomy empyema: the case for fenestration.

In Mearnskirk Hospital, Glasgow, 29 patients with postpneumonectomy empyema were treated by fenestration in a 12-year-period. Seven of these were not considered fit enough for definitive closure and died of continuing disease or respiratory infection. Twenty-two patients went on to closure of their fenestra, and in 17 (77%) the pneumonectomy space was rendered permanently sterile. If the empyem...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1972

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)41848-5