Lung decortication for chronic empyaema: effects on pulmonary function and thoracic asymmetry in the late period☆

Gokce, Mertol; Okur, Erdal; Baysungur, Volkan; Ergene, Gokhan; Sevilgen, Gökçen; Halezeroğlu, Semih

doi:10.1016/j.ejcts.2009.04.043

Cited by 25 publications

(37 citation statements)

References 15 publications

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“…3 Open decortication can significantly improve pulmonary function. 31 Cold abscesses of the chest wall which involve the ribs require debridement and wide resection. Surgical removal of all diseased tissue, including bones and cartilage, is a safe approach, rarely complicated by spread of the infection.…”

mentioning

confidence: 99%

Tuberculous Empyema Presenting as a Persistent Chest Wall Mass: Case Report

Madeo¹,

Patel²,

Gebre³

et al. 2013

GERMS

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Empyema necessitatis is an empyema that spreads outside of the pleural space involving the chest wall. Tuberculosis is the most common cause. It occurs in both immunocompetent and immunocompromised patients. Due to the long latency period and the paucity of symptoms, diagnosis can be challenging. Clinicians must have a high awareness of this disease, especially in patients from endemic regions. The disease is treatable with surgical and medical interventions. Failure to diagnose can lead to grave consequences for both the individual patient and public health. This is particularly true in endemic regions where controlling the spread of TB is challenging. We report a rare presentation of pulmonary tuberculosis in an otherwise healthy 72-year-old USA immigrant from Thailand. He presented with a painless, chronic chest wall swelling with minimal systemic symptoms. Imaging revealed empyema necessitatis. Histopathology could not give a definitive diagnosis because the tissue was too necrotic. Despite negative acid-fast staining, sputum cultures were positive for tuberculosis. The case presentation is followed by a brief review of the current relevant literature. This case highlights the importance of clinical suspicion and increased awareness for this silent but serious infection.

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mentioning

confidence: 99%

Tuberculous Empyema Presenting as a Persistent Chest Wall Mass: Case Report

Madeo¹,

Patel²,

Gebre³

et al. 2013

GERMS

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“…Postoperative improvements in forced expiratory volume in one second (FEV 1 ) range from 17.5-19.2 % of predicted values, and increases in vital capacity (VC) range from 16.6-18.5 % of predicted values. Lung perfusion and radiographic expansion are also increased after surgical decortication [39,40]. Similarly, decortication for trapped lung after coronary artery bypass grafting results in improvements of FEV 1 by 15.0±6.3 % and VC by 17.6±6.4 % of predicted values [41].…”

Section: Nonexpanding Lungmentioning

confidence: 82%

Management options for the complicated pleural space

Hsia

Musani

2013

Curr Respir Care Rep

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Clinicians frequently encounter patients with malignant and benign diseases involving the pleural space.Complications from these disease processes pose clinical challenges that often require a multi-disciplinary management approach. Here we discuss therapeutic options available for complicated diseases of the pleural space, including loculated malignant effusions, complicated pleural infections, hemothorax, nonexpanding lung, pleural thickening, and persistent bronchopleural fistulas. Our objective is to review current literature on management of these complex issues.

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“…Releasing the trapped lung improves pulmonary perfusion and improves forced vital capacity (FVC) from 61% up to 77% and forced expiratory volume in 1 second (FEV1) from 61% to 78%. 30,31 Its value has been demonstrated in decortication of trapped lung in tuberculous empyema. 32 Similar improvement is seen after decortication to release trapped lung in patients after cardiac surgery with improvement in their dyspnea score and lung capacity.…”

Section: Results Of Decortication For Benign Trapped Lung Open Decortmentioning

confidence: 98%

Pleurectomy Decortication in the Treatment of the “Trapped Lung” in Benign and Malignant Pleural Effusions

Rathinam¹,

Waller²

2013

Thoracic Surgery Clinics

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Lung decortication for chronic empyaema: effects on pulmonary function and thoracic asymmetry in the late period☆

Abstract: The open decortication for chronic pleural empyaema significantly increases FEV(1) and FVC. Due to the re-expansion of the lung and enlargement of the intercostal spaces, the chest wall deformity also improves considerably after the operation.

Cited by 25 publications

References 15 publications

Tuberculous Empyema Presenting as a Persistent Chest Wall Mass: Case Report

Tuberculous Empyema Presenting as a Persistent Chest Wall Mass: Case Report

Management options for the complicated pleural space

Pleurectomy Decortication in the Treatment of the “Trapped Lung” in Benign and Malignant Pleural Effusions

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