Open thoracotomy and decortication for chronic empyemathoracis: our experience

AUTHOR(s) : Bhattacharyya DK, Bhattacharyya DK
DOI No. : 10.31741/ijhrmlp.v6.i1.2020.10

ABSTRACT :
Introduction: Decortication for chronic empyema thoracis can be performed either by open thoracotomy or by minimally invasive procedure i.e. Video Assisted Thoracoscopic Surgery (VATS). As we donít have facility for VATS, we are treating all chronic empyema thoracis by thoracotomy. The objective of this study is to review all cases of empyema thoracic treated by open thoracotomy and decortication and analyze outcome of treatment. Materials and method: Records of the entire patient treated by open thoracotomy and decortication for chronic empyema thoracis over a period of three years from 2015 to 2017 were reviewed retrospectively and analyzed. Results: In total, 39 patient shad undergone open thoracotomy and decortications for chronic empyema thoracic during this period. 37 of them had excellent recovery and return to normal activities within 4 weeks time. 2 patients had prolonged air leak and recovery period was prolonged for them. Conclusion: Chronic empyema thoracic can be treated by open thoracotomy and decortications with low mortality and morbidity.

Keywords: Pleural empyema; chronic pyothorax; posterolateral thoracotomy; pleurectomy.

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