Fibrinous Stages of Empyema Thoracis : A Part from The Book Chapter : Decortications through Video-Assisted Thoracoscopic Surgery and Open Thoracotomy in Empyema Thoracis: A Retrospective Study

Empyema thoracis

Most of the patients presented with more than 6 weeks of disease duration before surgery (57.4%). Patients with disease durations of 3, 3–6, and >6 weeks were categorized as being in the exudative, fibrin purulent, and fibrinous stages of empyema Thoracis, respectively. In this study, 16 patients had a disease duration of 3–6 weeks, and they were initially managed using an intercostal drainage tube and anti-tubercular therapy. Later, 15 of these patients underwent VATS decortications, and 1 patient with relatively advanced disease underwent open thoracotomy decortication. Four patients with a disease duration <3 weeks and with loculated fluid collection underwent VATS decortication. Meanwhile, 28 patients with a disease duration of >6 weeks underwent open thoracotomy decortication.

Author(s) Details:

Vikram Sindgikar,
Department of General Surgery, BLDEDU’s Shri B M Patil Medical College Hospital, Vijayapur, Karnataka, India.

Tejaswini Vallabha,
Department of General Surgery, BLDEDU’s Shri B M Patil Medical College Hospital, Vijayapur, Karnataka, India.

Mallikarjun Patil,
Department of General Surgery, BLDEDU’s Shri B M Patil Medical College Hospital, Vijayapur, Karnataka, India.

Girish Kullolli,
Department of General Surgery, BLDEDU’s Shri B M Patil Medical College Hospital, Vijayapur, Karnataka, India.

Samhitha Reddy,
Department of General Surgery, BLDEDU’s Shri B M Patil Medical College Hospital, Vijayapur, Karnataka, India.

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