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Empyema following pulmonary resection

C Deschamps1, M S Allen, V F Trastek

  • 1Section of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota.

Chest Surgery Clinics of North America
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

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Empyema after lung resection is a rare but serious complication. Effective treatment involves antibiotics, drainage, pleural space obliteration, and fistula closure for successful outcomes.

Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Infectious Diseases

Background:

  • Empyema following lung resection is an uncommon yet severe complication.
  • The incidence ranges from 1% to 5% and is often linked to bronchopleural fistula.

Purpose of the Study:

  • To outline strategies for the prevention of post-lung resection empyema.
  • To detail the comprehensive treatment approach for managing empyema.

Main Methods:

  • Review of current literature on empyema prevention and treatment.
  • Discussion of key therapeutic components including antibiotics, drainage, and surgical closure.

Main Results:

  • Successful management hinges on a multi-faceted approach.

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  • Key elements include appropriate antibiotic selection and effective pleural space management.

    • Conclusions:

    • A combination of antibiotics, adequate drainage, pleural space obliteration, and fistula closure is crucial.
    • This comprehensive strategy aims for long-term successful outcomes in managing post-surgical empyema.