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[Post-pneumonectomy pyothorax with and without broncho-pleural fistula]
1Hôpital Avicenne, Bobigny.
Revue De Pneumologie Clinique
|January 1, 1988
Summary
This study details a pleural cavity irrigation method for treating pyothorax (chest infection) and broncho-pleural fistula. The technique achieved high success rates, eradicating infection in 90% and closing fistulas in 80% of cases.
Area of Science:
- Thoracic Surgery
- Infectious Diseases
- Pulmonology
Context:
- Pyothorax, a serious chest infection, often involves complications like broncho-pleural fistula.
- The medical center at Villiers Saint-Denis treated approximately 40 cases between 1975 and 1981.
- Effective management strategies for pyothorax are crucial.
Purpose:
- To describe and evaluate a specific pleural cavity drainage and irrigation method for pyothorax.
- To assess the efficacy of this method in treating both simple empyema and cases with broncho-pleural fistula.
Summary:
- The study employed a pleural irrigation technique using one or two chest tubes.
- Simple empyema was managed with a single tube, while broncho-pleural fistulas required two tubes for irrigation and closure.
- The method demonstrated significant success in infection eradication and fistula closure.
Impact:
- The described irrigation method resulted in a 90% infection eradication rate.
- Broncho-pleural fistulas closed in approximately 80% of treated patients within four months.
- This approach offers a viable and effective treatment option for complex thoracic infections.