Videothoracoscopy in Pleural Empyema Following Methicillin-Resistant Staphylococcus aureus (MRSA) Lung Infection

Our study shows the different therapeutic procedures in 64 patients with pleural effusion due to MRSA pneumonia. The thoracostomy tube associated with pleural washing was decisive in 10 simple effusion patients. Video-assisted thoracic surgery allowed a complete resolution of the disease in 22 compl...

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Main Authors: Duilio Divisi, Giovanna Imbriglio, Roberto Crisci
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2009.91
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author Duilio Divisi
Giovanna Imbriglio
Roberto Crisci
author_facet Duilio Divisi
Giovanna Imbriglio
Roberto Crisci
author_sort Duilio Divisi
collection DOAJ
description Our study shows the different therapeutic procedures in 64 patients with pleural effusion due to MRSA pneumonia. The thoracostomy tube associated with pleural washing was decisive in 10 simple effusion patients. Video-assisted thoracic surgery allowed a complete resolution of the disease in 22 complex parapneumonic effusion patients. In 20 of 32 patients with frank pus in the pleural cavity, the videothoracoscopic insufflation of carbon dioxide (CO2) before thoracotomy facilitated the dissection of the lung tissue. In 12 patients, this approach was not applied because of cardiac insufficiency. Videothoracoscopy and decortication after thoracotomy ensured the recovery of functions.
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series The Scientific World Journal
spelling doaj-art-2cc5dfab085e4daeb5663a3e5547e4ed2025-02-03T07:26:16ZengWileyThe Scientific World Journal1537-744X2009-01-01972372810.1100/tsw.2009.91Videothoracoscopy in Pleural Empyema Following Methicillin-Resistant Staphylococcus aureus (MRSA) Lung InfectionDuilio Divisi0Giovanna Imbriglio1Roberto Crisci2Department of Thoracic Surgery, University of l'Aquila, ”G. Mazzini“ Hospital, Teramo, ItalyDepartment of Thoracic Surgery, University of l'Aquila, ”G. Mazzini“ Hospital, Teramo, ItalyDepartment of Thoracic Surgery, University of l'Aquila, ”G. Mazzini“ Hospital, Teramo, ItalyOur study shows the different therapeutic procedures in 64 patients with pleural effusion due to MRSA pneumonia. The thoracostomy tube associated with pleural washing was decisive in 10 simple effusion patients. Video-assisted thoracic surgery allowed a complete resolution of the disease in 22 complex parapneumonic effusion patients. In 20 of 32 patients with frank pus in the pleural cavity, the videothoracoscopic insufflation of carbon dioxide (CO2) before thoracotomy facilitated the dissection of the lung tissue. In 12 patients, this approach was not applied because of cardiac insufficiency. Videothoracoscopy and decortication after thoracotomy ensured the recovery of functions.http://dx.doi.org/10.1100/tsw.2009.91
spellingShingle Duilio Divisi
Giovanna Imbriglio
Roberto Crisci
Videothoracoscopy in Pleural Empyema Following Methicillin-Resistant Staphylococcus aureus (MRSA) Lung Infection
The Scientific World Journal
title Videothoracoscopy in Pleural Empyema Following Methicillin-Resistant Staphylococcus aureus (MRSA) Lung Infection
title_full Videothoracoscopy in Pleural Empyema Following Methicillin-Resistant Staphylococcus aureus (MRSA) Lung Infection
title_fullStr Videothoracoscopy in Pleural Empyema Following Methicillin-Resistant Staphylococcus aureus (MRSA) Lung Infection
title_full_unstemmed Videothoracoscopy in Pleural Empyema Following Methicillin-Resistant Staphylococcus aureus (MRSA) Lung Infection
title_short Videothoracoscopy in Pleural Empyema Following Methicillin-Resistant Staphylococcus aureus (MRSA) Lung Infection
title_sort videothoracoscopy in pleural empyema following methicillin resistant staphylococcus aureus mrsa lung infection
url http://dx.doi.org/10.1100/tsw.2009.91
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AT robertocrisci videothoracoscopyinpleuralempyemafollowingmethicillinresistantstaphylococcusaureusmrsalunginfection