Outcome of primary empyema thoracis: therapeutic and microbiologic aspects

Mandal, Ashis Kumar; Thadepalli, Haragopal; Mandal, Aloke K.; Chettipally, Uli K.

doi:10.1016/s0003-4975(98)00601-8

Cited by 88 publications

(84 citation statements)

References 17 publications

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“…Thoracic empyema, which usually occurs after lung resection and pneumonia, remains a life-threatening infection, with a persistently high mortality rate ranging from 6% to 24% (1)(2)(3)(4). Adequate drainage is the first step to improve this infectious condition.…”

Section: Introductionmentioning

confidence: 99%

Benefits of using omental pedicle flap over muscle flap for closure of open window thoracotomy

Shinohara¹,

Chikaishi²,

Kuwata³

et al. 2016

J. Thorac. Dis.

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Background: Open window thoracotomy (OWT) as well as its closure are challenging. Transposition of omental pedicle and muscle flaps is often performed for OWT closure; however, the better technique among the two is unknown. The purpose of this series was to evaluate the outcomes of using both omental pedicle and muscle flaps for the aforementioned closure. Results: There were 9 (33.3%) omental pedicle flap procedures and 18 (66.7%) muscle flap procedures.The rate of local recurrence after closure of OWT was significantly higher with muscle flap than with omental pedicle flap (0% vs. 50.0%, P=0.012). The median duration of postoperative hospital stay was significantly shorter with omental pedicle flap than that with muscle flap (16.0 vs. 41.5 days, P=0.037).Mortality was observed in 2 patients (11.2%) in the muscle flap group and no patient in the omental pedicle flap group. Success rate was similar between the two groups (100% for omental pedicle flap vs. 83.3% for muscle flap).Conclusions: Omental pedicle flap was superior to muscle flap in terms of reducing local recurrence and shortening postoperative hospital stay. However, mortality, morbidity and success rates were not affected by the choice of flap.

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Section: Introductionmentioning

confidence: 99%

Benefits of using omental pedicle flap over muscle flap for closure of open window thoracotomy

Shinohara¹,

Chikaishi²,

Kuwata³

et al. 2016

J. Thorac. Dis.

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“…The decision of the type of treatment is usually empiric, sometimes guided by the failure of another treatment modality [2]. Mandal et al [10] in their study reported 62% success rate for closed thoracostomy, our cure rate (73.94%) with tube tube thoracostomy was almost the same. Interestingly; results of chest tube drainage with antiseptic lavage-irrigation system are different (85.82%) and leads to improved outcomes in early empyema thoracis.…”

Section: Discussionmentioning

confidence: 81%

“…Rapid diagnosis of the causal agent is required for effective treatment and a good outcome [7]. Staphylococcus aureus is the most commonly retrieved organism [10] but in this study we most retrieved Escherichia coli followed by Staphylococcus aureus. The classic microbiological technique for diagnosis of pleural empyema is standard microbiological culture and direct examination of pleural fluid [17] [18].…”

Section: Discussionmentioning

confidence: 89%

Management for Pediatric Pleural Empyema in Resource-Poor Country: Is Chest Tube Drainage with Antiseptic Lavage-Irrigation Better than Tube Thoracostomy Alone?

Togo¹,

Ouattara²,

Sangaré³

et al. 2015

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Background: Drainage by chest tube thoracostomy is widely used in treatment of early empyema thoracis in children, but drainage with antiseptic lavage-irrigation is more frequent in our context since the last 20 years. This study was to determine which was more effective in our experience comparing chest tube drainage with catheter antiseptic lavage-irrigation versus drainage by chest tube thoracostomy alone in the management of empyema thoracis in children. S. Togo et al. 542situ, less cost and better outcome of stage 2 empyema diseases than a treatment strategy that utilizes chest tube thoracostomy alone.

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“…Therefore, treatment of the acute empyema of the pleura is directed to early and complete evacuation of empirical fluid and content, achieving full re-expansion of the lungs and eradication of the infection using appropriate surgical procedures, antibiotics and other supportive procedures (8,(12)(13)(14)(15)(16)(17)(18).…”

Section: Disscusionmentioning

confidence: 99%