OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA

Objective: To analyze the outcome of open surgical decortication of tuberculous empyema patients at their late presentation. Study Design: Cross sectional study. Place and Duration of Study: Patients (n = 128) with tuberculous empyema were subjected to decortication for one and half year start...

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Autores principales:	Tahir Aslam, Amer Bilal, Manzoor Ahmed, Mohammad Abid, Abdul Baseer, Khurshid Ahmed Baloch, Fawad Ali
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	tuberculous empyema decortication empyema necessitan chylothorax Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8ba483f173e6414dbdd12a45c2bf263e
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spelling	oai:doaj.org-article:8ba483f173e6414dbdd12a45c2bf263e2021-12-02T19:18:18ZOUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMAdoi.org/10.51253/pafmj.v70i6.37240030-96482411-8842https://doaj.org/article/8ba483f173e6414dbdd12a45c2bf263e2020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/3724https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To analyze the outcome of open surgical decortication of tuberculous empyema patients at their late presentation. Study Design: Cross sectional study. Place and Duration of Study: Patients (n = 128) with tuberculous empyema were subjected to decortication for one and half year starting from July 2017 to December 2018. Pre, intra, and post-operative characteristics of all patients were studied thoroughly with a 6-month follow up evaluation of the surgical outcomes. Results: Preoperative conditions were as follows: 6.25% patient had Broncho pleural fistula, 90.9% patients were diagnosed with cough, 34.7 with night sweating, 64.2% chest pain and 79.6% chest tightness. Decortication was performed in all cases, with debridement of necrotic tissue and repair of air leaks in some patients. 70 (54.7%) patients went through right side decortication, whereas 56 (43.7%) patients went through left sided decortication and 2 (1.56%) patients had bilateral. Mortality was 2 (1.56%), 1 patient died of septicemia while 1 of pulmonary embolism. Whereas morbidity was 9 (7%), 3 patients had wound infection, 4 had incomplete lung expansion, 1 patient each had prolonged air leak and post-operative bleeding. Conclusions: Delayed referral for surgery causes irreversible changes in the lung, and prolonged disease condition, which causes increased thickness of the pleura and injury to the underlying lung with a delayed recovery. Open decortication gives satisfactory results.Tahir AslamAmer BilalManzoor AhmedMohammad AbidAbdul BaseerKhurshid Ahmed BalochFawad AliArmy Medical College Rawalpindiarticletuberculous empyemadecorticationempyema necessitanchylothoraxMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 6, Pp 1799-1803 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	tuberculous empyema decortication empyema necessitan chylothorax Medicine R Medicine (General) R5-920
spellingShingle	tuberculous empyema decortication empyema necessitan chylothorax Medicine R Medicine (General) R5-920 Tahir Aslam Amer Bilal Manzoor Ahmed Mohammad Abid Abdul Baseer Khurshid Ahmed Baloch Fawad Ali OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA
description	Objective: To analyze the outcome of open surgical decortication of tuberculous empyema patients at their late presentation. Study Design: Cross sectional study. Place and Duration of Study: Patients (n = 128) with tuberculous empyema were subjected to decortication for one and half year starting from July 2017 to December 2018. Pre, intra, and post-operative characteristics of all patients were studied thoroughly with a 6-month follow up evaluation of the surgical outcomes. Results: Preoperative conditions were as follows: 6.25% patient had Broncho pleural fistula, 90.9% patients were diagnosed with cough, 34.7 with night sweating, 64.2% chest pain and 79.6% chest tightness. Decortication was performed in all cases, with debridement of necrotic tissue and repair of air leaks in some patients. 70 (54.7%) patients went through right side decortication, whereas 56 (43.7%) patients went through left sided decortication and 2 (1.56%) patients had bilateral. Mortality was 2 (1.56%), 1 patient died of septicemia while 1 of pulmonary embolism. Whereas morbidity was 9 (7%), 3 patients had wound infection, 4 had incomplete lung expansion, 1 patient each had prolonged air leak and post-operative bleeding. Conclusions: Delayed referral for surgery causes irreversible changes in the lung, and prolonged disease condition, which causes increased thickness of the pleura and injury to the underlying lung with a delayed recovery. Open decortication gives satisfactory results.
format	article
author	Tahir Aslam Amer Bilal Manzoor Ahmed Mohammad Abid Abdul Baseer Khurshid Ahmed Baloch Fawad Ali
author_facet	Tahir Aslam Amer Bilal Manzoor Ahmed Mohammad Abid Abdul Baseer Khurshid Ahmed Baloch Fawad Ali
author_sort	Tahir Aslam
title	OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA
title_short	OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA
title_full	OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA
title_fullStr	OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA
title_full_unstemmed	OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA
title_sort	outcomes of open thoracic surgical decortication in patients with tuberculous empyema
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/8ba483f173e6414dbdd12a45c2bf263e
work_keys_str_mv	AT tahiraslam outcomesofopenthoracicsurgicaldecorticationinpatientswithtuberculousempyema AT amerbilal outcomesofopenthoracicsurgicaldecorticationinpatientswithtuberculousempyema AT manzoorahmed outcomesofopenthoracicsurgicaldecorticationinpatientswithtuberculousempyema AT mohammadabid outcomesofopenthoracicsurgicaldecorticationinpatientswithtuberculousempyema AT abdulbaseer outcomesofopenthoracicsurgicaldecorticationinpatientswithtuberculousempyema AT khurshidahmedbaloch outcomesofopenthoracicsurgicaldecorticationinpatientswithtuberculousempyema AT fawadali outcomesofopenthoracicsurgicaldecorticationinpatientswithtuberculousempyema
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OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA

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