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[Decortication: indication and morbidity--a retrospective analysis].

P Buchmann1, J Danko, S Geroulanos

  • 1Departement Chirurgie, Universitätsspital Zürich.

Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|March 20, 1990
PubMed
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Decortication, the surgical removal of pleura, is a rare procedure for empyema or malignant pleural effusion. This study found it safe and effective when conservative treatments fail, with low mortality unrelated to the surgery.

Area of Science:

  • Thoracic surgery
  • Pulmonary medicine
  • Surgical oncology

Context:

  • Decortication is an infrequently performed surgical procedure.
  • It is indicated for managing complex pleural space diseases like empyema and malignant pleural effusions.
  • The University Hospital in Zurich performed 50 decortications over ten years.

Purpose:

  • To evaluate the safety and efficacy of decortication.
  • To analyze outcomes and complications associated with the procedure.

Summary:

  • Fifty decortications were performed on 49 patients over a decade.
  • The overall mortality rate was 4%, with deaths attributed to underlying diseases, not the surgery.
  • Complications included bleeding requiring re-thoracotomy (3 patients) and pneumothorax from drain occlusion (5 patients).

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Impact:

  • Decortication is a viable option when conservative management of pleural effusions is ineffective.
  • The study supports prompt surgical intervention to improve patient outcomes.
  • Highlights the importance of careful surgical technique and drain management.