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Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

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Published on: November 10, 2023

Empyema thoracis: management outcome.

Salma Ghaffar¹, Ishtiaq Ali Khan, Sadia Asif

¹Department of Surgery, Ayub Medical College, Abbottabad, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC

|February 18, 2012

Summary

Empyema thoracis, a serious chest infection, primarily affects males and can stem from pneumonia or trauma. Tube drainage is often effective, but other treatments like decortication are available for persistent cases.

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Area of Science:

Thoracic Surgery
Pulmonology
Infectious Diseases

Background:

Empyema thoracis is a significant thoracic infection arising from postpneumonic effusion or trauma.
Untreated empyema can progress to fibro-purulent or organizing stages, complicating management.

Purpose of the Study:

To analyze the clinical features, investigations, and treatment outcomes of patients diagnosed with empyema thoracis.
To identify demographic and socioeconomic factors associated with empyema thoracis.

Main Methods:

A prospective study of 71 patients with empyema thoracis at a cardiothoracic unit.
Data collection included clinical presentation, investigations, and treatment modalities (antibiotics, aspiration, chest intubation, rib resection, decortication).

Main Results:

The majority of patients were male (81.69%) and under 20 years old (33.8%).
Tuberculosis was the leading cause (54.92%), with cough being the most frequent symptom (87.32%).
Tube thoracostomy was the primary treatment (71.83%), while 18.3% required decortication.

Conclusions:

Empyema thoracis predominantly affects males and can be diagnosed using chest X-rays.
While tube drainage is often successful, alternative surgical interventions are necessary for treatment failures.