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Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Approach to empyema necessitatis.
Asli Gül Akgül1, Alpay Örki, Tülay Örki
1Thoracic Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey. asliakgul@yahoo.com
World Journal of Surgery
|March 16, 2011
Summary
Empyema necessitatis, a rare chest infection complication, requires surgical intervention. Surgical options like drainage and decortication are effective for managing this condition and restoring lung function.
Area of Science:
- Thoracic Surgery
- Infectious Diseases
- Pulmonology
Background:
- Empyema necessitatis is a rare complication of thoracic empyema.
- It involves pus dissecting through chest wall tissues and skin.
- This study reviews nine cases, detailing etiology, treatment, and outcomes.
Purpose of the Study:
- To present nine cases of empyema necessitatis.
- To analyze the etiology, clinical history, and treatment choices.
- To evaluate surgical management strategies.
Main Methods:
- Nine patients with empyema necessitatis were treated over four years.
- Patients included six males and three females, aged 13-89.
- Treatment involved drainage, antibiotherapy, antituberculosis therapy, or decortication.
Main Results:
- Five patients had tuberculous empyema, three chronic fibrinous pleuritis, and one squamous cell carcinoma.
- Treatments included drainage with antibiotics/antitubercular therapy, decortication, and open drainage.
- Most patients were discharged without complications, except for two with multisystem failure and cancer.
Conclusions:
- Surgery is crucial for managing selected empyema necessitatis cases.
- Tube drainage, open drainage, and decortication are viable surgical options.
- These procedures help obliterate the cavity and restore pulmonary function.
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