STUDY OBJECTIVES The objective of this study was to determine the impact of the timing of chest tube insertion on outcome for the treatment of empyema, using a new animal model of empyema. DESIGN A prospective, controlled randomized, blinded design was used. SETTING The study was conducted in an animal research laboratory. PATIENTS OR PARTICIPANTS Sixty-six 2- to 3-kg rabbits were used in...

Despite many viscissitudes, pneumothorax is still the most important collapse measure in pulmonary tuberculosis. Its accessory procedure, closed intrapleural pneumonolysis, has increased greatly in usefulness and popularity and is considered to have very few complications. The most important one is tuberculous empyema which, in various published series’’#{176} ranges from zero to 26 per cent wi...

Background: Empyema is a condition that can be treated depending on the etiology of empyema and phase development. Open thoracotomy surgery conventional technique commonly used in has greater risk more extended postoperative hospital stay. This case series aims to evaluate Video-Assisted Thoracoscopic Surgery (VATS) shorten stay lower during surgery.Case Presentation: We describe five patients,...

Muscle flap transposition is one of the surgical treatment options for empyema with alveolarpleural fistula (APF) or bronchopleural fistula (BPF). This surgical procedure is invasive because it is typically performed by standard thoracotomy. We performed video-assisted thoracoscopic surgery (VATS) debridement, decortication, and obliteration of an empyema cavity using a pedicled latissimus dors...

Pleural empyema is defined as the pyogenic infection of the pleural space with purulent effusion. Although it is frequently seen in children and therapy protocols have been developed for it, there are only a few reports about pleural empyema in newborn infants. To our knowledge, just one preterm infant has been reported in the literature. In this article, we report an male infant born at 29 wee...

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...

STUDY OBJECTIVE To determine the success and complication rates of fibrinolytic therapy (FL) in the treatment of thoracic empyema. DESIGN AND PATIENTS Between December 1992 and November 1994, all patients referred with empyema thoracis (ET) were offered FL. FL consisted of streptokinase (275,000 +/- 170,000 IU) or urokinase (121,000 +/- 57,000 IU) daily for a mean of 6.2 +/- 2.1 days. SETTI...

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...

Background Childhood bacterial pneumonia and empyema rates have reportedly increased in recent years in Europe. In September 2006 the seven-valent pneumococcal conjugate vaccination (PCV7) was introduced to the childhood national immunisation programme in England following a successful PCV7 campaign in the USA. The aim of this study was to report national time trends in hospital admissions for ...

Empyema is a collection of pus in the pleural space. Empyema caused by Capnocytophaga species is extremely rare, and after extensive review of the literature, we found only four reported cases of Capnocytophaga empyema. In our case report, we present a case of 71-year-old male with Capnocytophaga empyema initially presented with signs and symptoms of acute congestive heart failure (CHF), with n...