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| Lung decortication |
Lung decortication
The mainstay of treatment of pleural empyema is the Lung Decortication of the infection continues and the prevention of recurrent infections and later restriction.
The appropriate choice of intervention depends on the nature of the underlying disease , the chronicity of the empyema , lung lobectomy and the general condition of the patient in Lung Decortication . American Thoracic Society empyema proposed to classify three different stages according to its chronicity order to facilitate the development of treatment guidelines of Lung Decortication
TC is very important in estimating the chronicity of empyema and to identify the underlying cause .
Lung Decortication in ATS stage I parapneumonic effusions is usually treated with antibiotics and thoracentesis or Lung removal .
However,Lung Decortication studies have questioned the utility of thoracic drainage alone complicated parapneumonic effusions and a high failure rate has been reported , particularly in multicolulated spills .Treatment of stage II empyema consists of fibrinolysis by a chest tube [lung lobectomy] or thoracoscopy ( VATS ) debridement [ Lung Decortication] .
Lung Decortication in VATS is preferable in patients at low risk, while fibrinolysis is an excellent option for patients who can not tolerate surgery. Fibrinolysis and tanks are viable options in the treatment of empyema fibrinopurulent but are not effective in the organizational phase .
Phase III officially thoracotomy empyema Lung Decortication necessary to prevent recurrence and restriction. Alterations in perfusion and mechanics of breathing induced by chronic pulmonary empyema can be restored if the peeling is done quickly once the diagnosis of empyema .
Open window lung lobectomy , thoracoplasty and intrathoracic muscle transfer still valid surgical options in the treatment of certain types of empyema .
In fact ,lung lobectomy these procedures have begun to experience a renaissance in recent years due to increased intrathoracic complex diseases observed in a growing number of immunocompromised patients.
VATS debridement and lung lobectomy open for early and chronic empyema Lung removal , respectively, were evaluated in a number of series with ATS patients undergoing stage II and III empyema
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