ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ridley, P. D.
Right arrow Articles by Braimbridge, M. V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ridley, P. D.
Right arrow Articles by Braimbridge, M. V.

Ann Thorac Surg 1991;51:461-464
© 1991 The Society of Thoracic Surgeons

Articles

Thoracoscopic debridement and pleural irrigation in the management of empyema thoracis

P.D. Ridley, FRCS(Ed)*, M.V. Braimbridge, FRCS

Department of Cardiothoracic Surgery, St. Thomas' Hospital, London, England

Accepted for publication November 28, 1990.

* Address reprint requests to Mr Ridley, Department of Cardiothoracic Surgery, Glasgow Royal Infirmary, Glasgow, Scotland G4 OSF.

As a sequel to a paper reporting good results obtained in 12 patients with empyema thoracis treated by thoracoscopic debridement and irrigation in our department, subsequent experience with a further 18 patients is reported. Drainage of pus and irrigation resulted in resolution of pyrexia with improvement in general condition in all patients. Overall, complete resolution was obtained by this technique alone in 60% ([equation]). Of the 12 patients in whom complete resolution was not obtained, secondary surgical measures resulted in resolution of empyema in 8. Four patients died; all were elderly and severely debilitated, 3 with advanced malignancy. Their deaths were not related to the technique, which was well tolerated in all cases. Thoracoscopic debridement and irrigation used routinely as a first-line measure in empyema thoracis is a safe and relatively atraumatic procedure, does not exclude the use of any subsequent surgical measure, and provides valuable time to improve the condition of debilitated patients so that they may tolerate more aggressive surgical procedures.




This article has been cited by other articles:


Home page
 Eur J Cardiothorac SurgHome page
T. F. Molnar
Current surgical treatment of thoracic empyema in adults
Eur J Cardiothorac Surg, September 1, 2007; 32(3): 422 - 430.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
G. F. Tassi, R. J. O. Davies, and M. Noppen
Advanced techniques in medical thoracoscopy.
Eur. Respir. J., November 1, 2006; 28(5): 1051 - 1059.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
S.-P. Luh, M.-C. Chou, L.-S. Wang, J.-Y. Chen, and T.-P. Tsai
Video-Assisted Thoracoscopic Surgery in the Treatment of Complicated Parapneumonic Effusions or Empyemas: Outcome of 234 Patients
Chest, April 1, 2005; 127(4): 1427 - 1432.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
C. Ozcelik, R. Ulku, S. Onat, Z. Ozcelik, I. Inci, and O. Satici
Management of postpneumonic empyemas in children
Eur J Cardiothorac Surg, June 1, 2004; 25(6): 1072 - 1078.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. Ozcelik, I. Inci, O. Nizam, and S. Onat
Intrapleural fibrinolytic treatment of multiloculated postpneumonic pediatric empyemas
Ann. Thorac. Surg., December 1, 2003; 76(6): 1849 - 1853.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. R. Roberts
Minimally invasive surgery in the treatment of empyema: intraoperative decision making
Ann. Thorac. Surg., July 1, 2003; 76(1): 225 - 230.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
T. Suzuki, A. Kitami, S. Suzuki, Y. Kamio, M. Narushima, and H. Suzuki
Video-Assisted Thoracoscopic Sterilization for Exacerbation of Chronic Empyema Thoracis
Chest, January 1, 2001; 119(1): 277 - 280.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
P. C. Cassina, M. Hauser, L. Hillejan, D. Greschuchna, and G. Stamatis
VIDEO-ASSISTED THORACOSCOPY IN THE TREATMENT OF PLEURAL EMPYEMA: STAGE-BASED MANAGEMENT AND OUTCOME
J. Thorac. Cardiovasc. Surg., February 1, 1999; 117(2): 234 - 238.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. K. Mandal, H. Thadepalli, A. K. Mandal, and U. Chettipally
Outcome of primary empyema thoracis: therapeutic and microbiologic aspects
Ann. Thorac. Surg., November 1, 1998; 66(5): 1782 - 1786.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
M. Celik, S. Halezeroglu, C. Senol, M. Keles, Z. Yalcin, S. Urek, H. Kiral, and B. Arman
Video-assisted thoracoscopic surgery: experience with 341 cases
Eur J Cardiothorac Surg, August 1, 1998; 14(2): 113 - 116.
[Abstract] [Full Text] [PDF]

Home page
 Arch SurgHome page
L. A. Scherer, F. D. Battistella, J. T. Owings, and M. M. Aguilar
Video-Assisted Thoracic Surgery in the Treatment of Posttraumatic Empyema
Arch Surg, June 1, 1998; 133(6): 637 - 642.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
D. R. Flum, S. D. Steinberg, T. R. Bernik, E. Bonfils-Roberts, M. D. Kramer, P. X. Adams, and M. K. Wallack
THORACOSCOPY IN ACQUIRED IMMUNODEFICIENCY SYNDROME
J. Thorac. Cardiovasc. Surg., September 1, 1997; 114(3): 361 - 366.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
D. Weissberg and Y. Refaely
Pleural Empyema: 24-Year Experience
Ann. Thorac. Surg., October 1, 1996; 62(4): 1026 - 1029.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
G. Massard, A. Dabbagh, J.-M. Wihlm, R. Kessler, P. Barsotti, N. Roeslin, and G. Morand
Pneumonectomy for Chronic Infection Is a High-Risk Procedure
Ann. Thorac. Surg., October 1, 1996; 62(4): 1033 - 1037.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
T. A. Angelillo Mackinlay, G. A. Lyons, D. J. Chimondeguy, M. A. Barboza Piedras, G. Angaramo, and J. Emery
VATS Debridement Versus Thoracotomy in the Treatment of Loculated Postpneumonia Empyema
Ann. Thorac. Surg., June 1, 1996; 61(6): 1626 - 1630.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
M. L. Silen and T. R. Weber
Thoracoscopic debridement of loculated empyema thoracis in children
Ann. Thorac. Surg., May 1, 1995; 59(5): 1166 - 1168.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. E. Maziak and M. F. McKneally
Video-assisted thoracic surgery
Ann. Thorac. Surg., March 1, 1995; 59(3): 780 - 781.
[PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
H.-P. Liu, C.-H. Chang, P. J. Lin, H.-C. Hsieh, J.-P. Chang, and M.-J. Hsieh
Video-assisted thoracic surgeryThe Chang Gung experience
J. Thorac. Cardiovasc. Surg., November 1, 1994; 108(5): 834 - 840.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
L. A. Robinson, A. L. Moulton, W. H. Fleming, A. Alonso, and T. A. Galbraith
Intrapleural fibrinolytic treatment of multiloculated thoracic empyemas
Ann. Thorac. Surg., April 1, 1994; 57(4): 803 - 814.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. K. Ferguson
Thoracoscopy for empyema, bronchopleural fistula, and chylothorax
Ann. Thorac. Surg., September 1, 1993; 56(3): 644 - 645.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. H. Feins
The role of thoracoscopy in the AIDS/immunocompromised patient
Ann. Thorac. Surg., September 1, 1993; 56(3): 649 - 650.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. C. Axford, D. G. Clair, M. M. Bertagnolli, S. J. Mentzer, and D. J. Sugarbaker
Staged antrectomy and thoracoscopic truncal vagotomy for perforated peptic ulcer disease
Ann. Thorac. Surg., June 1, 1993; 55(6): 1571 - 1573.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. S. Naunheim MD and C. H. Andrus
Thoracoscopic drainage and resection of giant mediastinal cyst
Ann. Thorac. Surg., January 1, 1993; 55(1): 156 - 158.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. P. McKeown, P. Conant, and D. S. Hubbell
Thoracoscopic lung biopsy
Ann. Thorac. Surg., September 1, 1992; 54(3): 490 - 492.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1991 by The Society of Thoracic Surgeons.