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[Early and late pleural decortication--indications and technique].
1Krankenhaus Lainz, I. Chirurgische Abteilung, Wien.
Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1989
Summary
Decortication surgery effectively treats pleural empyema with low mortality (0.1%) and morbidity (3%). However, less invasive closed-tube drainage is now the preferred treatment for pleural infections.
Area of Science:
- Thoracic surgery
- Pulmonary medicine
- Infectious disease
Context:
- Review of 224 decortications performed between 1957 and 1987.
- Analysis of surgical indications and outcomes.
- Comparison with contemporary treatment trends.
Purpose:
- To report the authors' experience with decortication surgery.
- To evaluate the efficacy and safety of decortication for pleural diseases.
- To assess the shift in treatment strategies for pleural empyema.
Summary:
- Decortication was primarily indicated for tuberculous and non-specific pleural empyema, with secondary indications including hemothorax and chronic pleuritis.
- The procedure demonstrated low mortality (0.1%) and morbidity (3%).
- A significant shift towards less invasive closed-tube drainage (84%) has occurred, reducing the use of decortication (12%) and thoracoplasty (4%) in recent years.
Impact:
- Highlights the historical effectiveness of decortication for complex pleural infections.
- Underscores the evolving treatment paradigm favoring less invasive methods.
- Provides valuable data for understanding long-term trends in managing pleural diseases.