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Published on: February 24, 2023
Post-resection complications: abscesses, empyemas, bronchopleural fistulas
Matthew Egyud1, Kei Suzuki1,2
1Department of Surgery, Division of Thoracic Surgery, Boston University School of Medicine, Boston, MA, USA.
Thoracic surgeons now play a key role in managing complex pulmonary infections like lung abscesses and empyemas. This review details historical and current surgical approaches for these serious lung conditions.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Infectious Diseases
Background:
- The management of pulmonary infections has significantly advanced with improved medical treatments.
- Thoracic surgeons' involvement in treating lung infections has evolved over time.
- Key conditions include lung abscesses, empyemas, and bronchopleural fistulas.
Purpose of the Study:
- To review the historical and current roles of thoracic surgeons in managing surgically-treated pulmonary infections.
- To outline an approach to managing empyemas.
- To summarize post-operative bronchopleural fistula management in tuberculosis cases.
Main Methods:
- Review of historical and current literature on surgical management of pulmonary infections.
- Description of a specific algorithm for empyema management.
- Analysis of outcomes for bronchopleural fistulas post-tuberculosis surgery.
Main Results:
- Surgical intervention remains crucial for specific, advanced pulmonary infections.
- A structured approach to empyema management can optimize outcomes.
- Understanding post-operative bronchopleural fistulas in tuberculosis is vital for patient care.
Conclusions:
- Thoracic surgery is integral to managing severe lung infections like abscesses and empyemas.
- Defined algorithms improve the treatment of thoracic empyema.
- Specialized care is needed for bronchopleural fistulas, particularly after tuberculosis treatment.
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