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[Decortication of the lung].

E Fosse1, N B Fjeld

  • 1Thoraxkirurgisk avdeling, Kirurgisk klinikk, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|September 10, 1991
PubMed
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Lung decortication is effective for persistent empyema or pleural hematoma after one week of drainage. This surgical procedure offers successful outcomes for patients with significant pleural complications.

Area of Science:

  • Thoracic surgery
  • Pulmonary medicine
  • Pleural diseases

Context:

  • Decortication is a surgical procedure to remove the fibrous layer of tissue that has thickened and constricted the lung.
  • This study reviews 18 patients undergoing lung decortication over six years for various pleural conditions.

Purpose:

  • To evaluate the efficacy and outcomes of lung decortication in patients with complicated pleural effusions.
  • To determine the indications for considering decortication in managing persistent empyema or hematoma.

Summary:

  • Eighteen patients underwent decortication for empyema (8), postoperative/posttraumatic hematoma (5), restrictive pleuritis (4), and lung collapse (1).
  • Two patients experienced postoperative complications (empyema and septicemia) but were successfully treated.

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  • The median postoperative hospital stay was 13 days. Decortication is recommended for persistent pleural effusion after one week of adequate drainage in cases of empyema or hematoma.

    • Impact:

    • Lung decortication is a viable treatment option for specific persistent pleural conditions, leading to successful patient recovery.
    • The findings support considering decortication for empyema or pleural hematoma when initial drainage is insufficient.