Surgical and Non-surgical Treatments in Pleural Empyema
Objective: Increasing number of patients are developing complicated pleural infection. We aimed at revealing the differences of treatment modalities performed in patients with empyema. Methods: Patients those had been diagnosed and treated for empyema were assessed in a retrospective design. For th...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2025-01-01
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| Series: | Bezmiâlem Science |
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| Online Access: | https://www.bezmialemscience.org/articles/surgical-and-non-surgical-treatments-in-pleural-empyema/doi/bas.galenos.2024.04706 |
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| author | Sami DENİZ Nimet AKSEL Özer ÖZDEMİR Görkem VAYISOĞLU ŞAHİN Ezgi ÇİMEN ÇELİK Mutlu Onur GÜÇSAV Filiz GÜLDAVAL Ahmet Emin ERBAYCU Ahmet ÜÇVET |
| author_facet | Sami DENİZ Nimet AKSEL Özer ÖZDEMİR Görkem VAYISOĞLU ŞAHİN Ezgi ÇİMEN ÇELİK Mutlu Onur GÜÇSAV Filiz GÜLDAVAL Ahmet Emin ERBAYCU Ahmet ÜÇVET |
| author_sort | Sami DENİZ |
| collection | DOAJ |
| description | Objective: Increasing number of patients are developing complicated pleural infection. We aimed at revealing the differences of treatment modalities performed in patients with empyema.
Methods: Patients those had been diagnosed and treated for empyema were assessed in a retrospective design. For the definitive diagnosis of empyema, thoracentesis was made. We categorized the patients in two groups as therapeutic drainage (group 1) and open surgery (group 2).
Results: A total of 360 patients, 57 of whom were women, were included. Tube drainage was applied to the patients in group 1, and therapeutic thoracentesis was applied to those not suitable for drainage. Patients who did not provide adequate drainage due to loculation were deloculated with fibrinolytic agent or video-assisted thoracoscopic surgery. In patients with advanced empyema with multiloculation and remarkable pleural thickening, which constituted group 2, decortication was performed by thoracotomy. Thoracoplasty was added in those who had insufficient lung volume. There were 292 (81.2%) patients in group-1 and 68 (18.8%) patients in group 2. In comparison of two groups, a significant difference was detected for lactate dehydrogenase (p<0.001) in pleural fluid and leukocyte count (p=0.05), hemoglobin (p=0.01), albumin (p=0.002), urea (p=0.3), and creatinine (p=0.21) levels in blood. The treatment results revealed no significant difference between three groups (recovered, sequelae changes, death), except for blood neutrophil count and antibiotic duration.
Conclusion: Medical treatment plus therapeutic drainage therapy may be chosen as first treatment instead of open surgery in empyema. |
| format | Article |
| id | doaj-art-9778c7de543c47999f360b82bc24ae93 |
| institution | Kabale University |
| issn | 2148-2373 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Bezmiâlem Science |
| spelling | doaj-art-9778c7de543c47999f360b82bc24ae932025-01-27T12:36:18ZengGalenos Publishing HouseBezmiâlem Science2148-23732025-01-01131515710.14235/bas.galenos.2024.04706Surgical and Non-surgical Treatments in Pleural EmpyemaSami DENİZ0https://orcid.org/0000-0002-8328-295XNimet AKSEL1https://orcid.org/0000-0001-8725-3323Özer ÖZDEMİR2https://orcid.org/0000-0002-8884-0682Görkem VAYISOĞLU ŞAHİN3https://orcid.org/0000-0003-1107-3531Ezgi ÇİMEN ÇELİK4https://orcid.org/0000-0002-5941-8124Mutlu Onur GÜÇSAV5https://orcid.org/0000-0003-2969-4766Filiz GÜLDAVAL6https://orcid.org/0000-0002-7712-5093Ahmet Emin ERBAYCU7https://orcid.org/0000-0001-6618-6774Ahmet ÜÇVET8https://orcid.org/0000-0002-5649-560XUniversity of Health Sciences Türkiye, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Clinic of Thoracic Diseases, İzmir, TürkiyeUniversity of Health Sciences Türkiye, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Clinic of Thoracic Diseases, İzmir, TürkiyeUniversity of Health Sciences Türkiye, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Clinic of Thoracic Diseases, İzmir, TürkiyeUniversity of Health Sciences Türkiye, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Clinic of Thoracic Diseases, İzmir, TürkiyeTatvan State Hospital, Clinic of Thoracic Surgery, Bitlis, TürkiyeUniversity of Health Sciences Türkiye, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Clinic of Thoracic Diseases, İzmir, TürkiyeUniversity of Health Sciences Türkiye, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Clinic of Thoracic Diseases, İzmir, Türkiyeİzmir Bakırçay University Faculty of Medicine, Department of Thoracic Diseases, İzmir, TürkiyeUniversity of Health Sciences Türkiye, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, Clinic of Thoracic Surgery, İzmir, TürkiyeObjective: Increasing number of patients are developing complicated pleural infection. We aimed at revealing the differences of treatment modalities performed in patients with empyema. Methods: Patients those had been diagnosed and treated for empyema were assessed in a retrospective design. For the definitive diagnosis of empyema, thoracentesis was made. We categorized the patients in two groups as therapeutic drainage (group 1) and open surgery (group 2). Results: A total of 360 patients, 57 of whom were women, were included. Tube drainage was applied to the patients in group 1, and therapeutic thoracentesis was applied to those not suitable for drainage. Patients who did not provide adequate drainage due to loculation were deloculated with fibrinolytic agent or video-assisted thoracoscopic surgery. In patients with advanced empyema with multiloculation and remarkable pleural thickening, which constituted group 2, decortication was performed by thoracotomy. Thoracoplasty was added in those who had insufficient lung volume. There were 292 (81.2%) patients in group-1 and 68 (18.8%) patients in group 2. In comparison of two groups, a significant difference was detected for lactate dehydrogenase (p<0.001) in pleural fluid and leukocyte count (p=0.05), hemoglobin (p=0.01), albumin (p=0.002), urea (p=0.3), and creatinine (p=0.21) levels in blood. The treatment results revealed no significant difference between three groups (recovered, sequelae changes, death), except for blood neutrophil count and antibiotic duration. Conclusion: Medical treatment plus therapeutic drainage therapy may be chosen as first treatment instead of open surgery in empyema.https://www.bezmialemscience.org/articles/surgical-and-non-surgical-treatments-in-pleural-empyema/doi/bas.galenos.2024.04706thoracic empyemasurgeryvideo-assisted thoracic surgerypleural fluid |
| spellingShingle | Sami DENİZ Nimet AKSEL Özer ÖZDEMİR Görkem VAYISOĞLU ŞAHİN Ezgi ÇİMEN ÇELİK Mutlu Onur GÜÇSAV Filiz GÜLDAVAL Ahmet Emin ERBAYCU Ahmet ÜÇVET Surgical and Non-surgical Treatments in Pleural Empyema Bezmiâlem Science thoracic empyema surgery video-assisted thoracic surgery pleural fluid |
| title | Surgical and Non-surgical Treatments in Pleural Empyema |
| title_full | Surgical and Non-surgical Treatments in Pleural Empyema |
| title_fullStr | Surgical and Non-surgical Treatments in Pleural Empyema |
| title_full_unstemmed | Surgical and Non-surgical Treatments in Pleural Empyema |
| title_short | Surgical and Non-surgical Treatments in Pleural Empyema |
| title_sort | surgical and non surgical treatments in pleural empyema |
| topic | thoracic empyema surgery video-assisted thoracic surgery pleural fluid |
| url | https://www.bezmialemscience.org/articles/surgical-and-non-surgical-treatments-in-pleural-empyema/doi/bas.galenos.2024.04706 |
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