Parapneumonic Pleural Effusion and Empyema

Erdoğu, Volkan; Metin, Muzaffer

doi:10.5152/solunum.2013.013

Cited by 5 publications

(12 citation statements)

References 25 publications

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“…The first choice of treatment is draining thoracentesis, and if necessary tube thoracostomy and medical treatment can be given. Decortication should be planned in patients who do not respond to recurrent thoracentesis, tube thoracostomy, and long‐term medical therapy 6 …”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the polyglycolic acid patch in preventing prolonged air leakage after pulmonary decortication

Haberal

Akar

Dikiş

et al. 2022

ANZ Journal of Surgery

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Aim This study aimed to investigate the effectiveness of an absorbable polyglycolic acid patch (PGA) in the early prevention of alveolar air leaks after pulmonary decortication operations. Methods Between January 2016 and December 2019, files of 185 patients with pleural effusion, empyema, or hemothorax were examined retrospectively. Thirty‐five patients who underwent decortication surgery were included in the study. Two‐way posteroanterior (PA) chest x‐ray, computed tomography (CT), pulmonary function tests (PFT), arterial blood gas, hemogram, and biochemical tests were performed for all patients before the operation. The patients were divided into two groups. Group 1 was composed of 16 patients (45.7%) with standard decortication, and Group 2 was formed with 19 patients (54.3%) with standard decortication + PGA patch. Results The median age was 55 years (minimum = 25, maximum = 75) and the vast majority (82.9%; n = 29) of patients were males. There was no significant difference between groups in age, aetiology, or sex. The most common etiological cause in both Group 1 and Group 2 was nonspecific infection (56.3% and 73.7%, respectively). When Group 2 and Group 1 were compared regarding median times (day) of air leak cessation (Group 2 = 4; Group 1 = 8.5), chest drain removal (Group 2 = 5; Group 1 = 10), and hospital discharge times (Group 2 = 8; Group 1 = 13),the durations were statistically significantly shorter in Group 2 than in Group 1 (P < 0.001). Conclusion Use of the PGA patch in pulmonary decortication operations significantly reduced the duration of air leaks, drain removal, and discharge time from the hospital in the postoperative period.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of the polyglycolic acid patch in preventing prolonged air leakage after pulmonary decortication

Haberal

Akar

Dikiş

et al. 2022

ANZ Journal of Surgery

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“…4) Pleural effusion is identified in 57% of the cases with bacterial pneumonia, and 10% of these result in complicated empyema. 1,2) . The study by Light et al 10) reported seven classes of diagnosis and treatment for pleural effusions.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of VATS and Intrapleural Fibrinolytic Therapy in Parapneumonic Empyema Treatment

Samancılar

Akçam

Kaya

et al. 2018

ATCS

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Background: Development of multiloculation-septation is a challenging entity in empyema patients. In this study, it is aimed to investigate the success rates of videothoracoscopic deloculation (VATS-D) and intrapleural fibrinolytic (IPFib) application after tube thoracostomy. Methods: The study retrospectively examined the patients diagnosed with empyema with multiloculation and septation between January 2005 and December 2014. Among these patients, the study included those who received VATS-D or IPFib therapy. Results: VATS-D (Group 1) was applied to 54 patients and IPFib (Group 2) was applied to 24 patients. The success of both procedures was evaluated considering the need of decortication in the following periods. In the VATS-D group, 4 (7.4%) patients required decortication via thoracotomy where it was 1 (4.1%) patient (p = 0.577) in the IPFib group. The length of hospital stay was 6.81 ± 2.55 (4-15) days in Group 1 compared to 14.25 ± 6.44 (7-27) days in Group 2 (p <0.001). Conclusions: It was demonstrated that both of the methods applied in the study have high efficacy and are preferable methods based on the general conditions of patients. Additionally, the shorter length of hospital stays in patients received VATS-D was established as a significant parameter.

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“…S. pneumoniae, toplum kökenli pnömoninin %70'inden sorumluyken, bu olguların sadece %2'sinde PA gelişir. S. aureus ise toplum kökenli pnömonilerin %2'sinin patojeniyken; erişkinlerde %10, pediatrik yaşlarda %50 oranında PA'ya neden olur [13] . Demirci ve arkadaşlarının yaptıkları çalışmada, PA'lar da %27.9 oranında anaerop kültür üremesi sağlamışlardır [14] .…”

Section: Bulgularunclassified

“…Etkili plevral drenaj, uygun antibiyoterapi, gereğinde cilt/cilt altı dokulara yönelik debridman/drenaj ve hastanın genel durumunun desteklenmesi tedavinin temelleridir. Tuzaklanmış akciğerin serbestlenmesi ve ekspansasyon sağlanması, medikal tedavinin etkisiz kaldığı loküle plevral odakların ortadan kaldırılması majör cerrahi için endikasyonlardır [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] . Serimizde AN hastaları genel ampiyem popülasyonuna göre daha geç opere edilmişti.…”

Section: Bulgularunclassified

An Overlooked Complication, Empyema Necessitatis: An Analysis of 766 Empyema Cases

Avcı¹,

Kuşçu²,

Ulu³

et al. 2019

FLORA

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Giriş: Plevral ampiyem (PA), plevra yaprakları arasında infekte mayi bulunmasıdır. Ampiyema nesessitatis (AN) ise PA'nın pariyetal plevra ve endotorasik fasiayı geçerek çevre yumuşak dokular içinde yayılması ve cilt altı yayılımı ile bazen cilde fistülize olmasıyla karakterize, nadir bir komplikasyonudur. Ayırıcı tanıda karmaşıklığa neden olur. Bu çalışmada, AN risk faktörlerinin tespit edilmesi, tanı ve tedavisinde tecrübelerimizin paylaşımı amaçlanmıştır.

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Parapneumonic Pleural Effusion and Empyema

Cited by 5 publications

References 25 publications

Effectiveness of the polyglycolic acid patch in preventing prolonged air leakage after pulmonary decortication

Effectiveness of the polyglycolic acid patch in preventing prolonged air leakage after pulmonary decortication

The Efficacy of VATS and Intrapleural Fibrinolytic Therapy in Parapneumonic Empyema Treatment

An Overlooked Complication, Empyema Necessitatis: An Analysis of 766 Empyema Cases

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