Surgical versus non-surgical management for pleural empyema

Abstract

Surgical versus non-surgical management for pleural empyema (Review)

Infectious pleural effusion status and treatment progress

“…Antibiotic treatment, chest drainage, intrapleural cavity injection, thoracoscopy, operation and nutrition support can be selective methods. Taking these patients as the center, summarize patient information and conduct comprehensive analysis to provide support for clinical decisions (68) and finding patients with potentially poor prognosis at the early stage in the future. At present, there have been studies on independent predictive factors, such as white blood cell count, pleural pain, pleural effusion position and pleural rupture for operative treatment (12).…”

“…In Korea, a study suggested that VATS can be a first-line treatment of pleural cavity infection (64). Some studies also consider that death rate does not have a significant difference between thoracoscopic surgery and conservative medical treatment (2,68), and have some contradictory results for the study and comparison between children VATS and medical treatment (2,65,66,69). Furthermore, there is a lack of high-quality, random and controlled clinical studies on VATS/medical treatment.…”

Recent developments in the management of pleural infection: A comprehensive review

“…The question remains as to whether VATS at initial presentation is superior to medical treatment. A recent Cochrane review suggested that there is no statistically significant difference in mortality between primary surgical and non surgical management of pleural empyema for all age groups . However, there was insufficient evidence to assess the impact of fibrinolytic therapy.…”

Spinal epidural empyema extending from a pleural empyema: case description and anatomical overview

“…A pleural empyema is defined as pus in the pleural space, most often secondary to pneumonia, though other aetiologies include trauma and iatrogenic 1. A spinal epidural abscess is defined as a collection of pus in the epidural space, which is a surgical emergency, as prolonged compression of the spine may lead to irreversible damage 2.…”