Functional effects of decortication after penetrating war injuries to the chest

Decortication was performed in 32 persons with penetrating war injuries to the chest. The indications were acute and chronic post-traumatic empyema, incompletely evacuated hemothorax, chylothorax, and chronic pneumothorax. Decortications were done through a thoracotomy in 29 cases and by thoracoscopy in three cases. Results of overall lung function tests and blood gas analyses were studied in all patients before operation, after immediate postoperative recovery, and 6 months after operation. Significant improvement in lung function was observed after decortication in all patients, particularly after thoracoscopic decortication. Restrictive pattern decreased moderately (p < 0.01). Blood gas analyses did not show significant changes after operation. There were no intraoperative or postoperative deaths.