Surgical Management of Empyema
Surgical intervention for empyema most commonly occurs in one of three scenarios: parapneumonic empyema; empyema complicating traumatic hemothorax; empyema occurring after lung resection and complicated by bronchopleural fistula (BPF). In the first two conditions the primary goal of therapy is directed at draining the pleural space and hopefully allowing full lung expansion. In the latter, while the infected pleural space must also be tackled, the approach must also take into account the persistent contamination via the airway into the empyema cavity and vice versa.
KeywordsChest Tube Pleural Space Bronchopleural Fistula Residual Space Open Window Thoracostomy
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