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Long-term outcomes in surgically intervened empyema patients: a systematic review.
ANZ J Surg
September 2024
Department of Thoracic Surgery, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Article Synopsis
- Pleural empyema is a serious condition that affects patient health, and recent studies suggest that surgical intervention might offer better short-term results, but the long-term effects are less understood.
- A systematic review of 11 studies found that while surgical patients showed improvements in lung function and reduced dyspnoea after 2-7 years, the quality of life and comparisons to other treatments were lacking due to significant bias in the studies.
- The conclusion emphasizes the need for better-designed prospective trials to accurately assess the long-term benefits of surgical intervention for pleural empyema.
Pleural Diseases in Connective Tissue Diseases.
Semin Respir Crit Care Med
June 2024
Oxford Respiratory Trials Unit, Oxford Centre for Respiratory Disease, Oxford University Hospital, Oxford Centre for Respiratory Medicine, Churchill Hospital, NHS Trust, Oxford, United Kingdom.
Connective tissue diseases (CTD) are heterogeneous, immune-mediated inflammatory disorders often presenting with multiorgan involvement. With the advent of high-resolution computed tomography, CTD-related pleuritis-pleural thickening and effusion-is now increasingly recognized early in the disease trajectory. The natural history of CTD-related pleural effusions varies from spontaneous resolution to progressive fibrothorax with ventilatory impairment.
View Article and Find Full Text PDFPleural space management after lung transplant: Early and late outcomes of pleural decortication.
J Heart Lung Transplant
July 2021
Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio; Lung Transplant Program, Transplant Institute, Cleveland Clinic, Cleveland, Ohio; Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address:
Background: Pleural complications after lung transplant may restrict allograft expansion, requiring decortication. However, its extent, indications, risk factors, and effect on allograft function and survival are unclear.
Methods: From January 2006 to January 2017, 1,039 patients underwent primary lung transplant and 468 had pleural complications, 77 (16%) of whom underwent 84 surgical decortications for pleural space management.
Lung Decortication With Argon Plasma Energy for the Treatment of Chronic Pleural Empyema.
Innovations (Phila)
November 2021
8964 Department of Thoracic Surgery, University College London Hospitals NHS Foundation Trust, London, UK.
Lung decortication for the treatment of chronic pleural empyema remains a technically challenging procedure that is associated with bleeding and air leak. The recent advent of pure argon plasma has provided thoracic surgeons with an electrically neutral energy source for dissection and coagulation of pulmonary tissue with minimal depth of necrosis. In this article, we describe the technique of lung decortication with argon plasma energy (PlasmaJet, Plasma Surgical, Roswell, GA, USA) for the treatment of chronic pleural empyema.
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