Empyema, spaces and fistula:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1996
|
| Schriftenreihe: | Chest surgery clinics of North America
6,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII S., S. 403 - 626 Ill. |
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| 245 | 1 | 0 | |a Empyema, spaces and fistula |c Joseph I. Miller, guest ed. |
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Datensatz im Suchindex
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I
EMPYEMA, SPACES, AND FISTULA
CONTENTS
Preface xv
Joseph I. Miller, Jr
Historical Developments in the Management of Empyema 403
Jonathan Somers and L. Penfield Faber
The diagnosis and treatment of empyema was first described by
Hippocrates over 2000 years ago. Virtually nothing else pertaining
to this disease was recorded until the early 18th century. Since that
time, numerous treatments have been described including open
and closed tube drainage, thoracentesis, and thoracoplasty.
Current Diagnostic Methods and Medical Management
of Thoracic Empyemas 419
Teofilo L. Lee Chiong, Jr and Richard A. Matthay
Infections can invade the normally sterile pleural space leading
to the development of parapneumonia effusions or empyemas.
Pneumonia, thoracic surgery, and trauma, together, are responsi¬
ble for most cases of empyemas. Pneumococci and staphylococci
remain the predominant etiologic organisms. In addition, gram
negative aerobic bacteria and anaerobes are emerging as im¬
portant pathogens. Most parapneumonic pleural effusions, re¬
gardless of their underlying etiology and bacteriology, evolve
through definable stages. For each stage of the disease, specific
therapeutic measures, either medical or surgical, are available.
Radiologic Evaluation and Intervention for Empyema Thoracis 439
Robert B. Lee
Empyema thoracis has changed little in its presentation and etiol¬
ogy since first described. Surgical intervention, simply put, is
drainage of pus. The introduction of computed tomography
CHEST SURGERY CLINICS OF NORTH AMERICA
VOLUME 6 • NUMBER 3 • AUGUST 1996 ix
and catheter drainage of empyema is the first technologically
driven advancement for the management of empyema. The use
of various radiologic procedures for characterization and treat¬
ment of empyema is described.
Decortication in Thoracic Empyema: Indications and Surgical
Technique 461
Richard J. Thurer
Decortication for empyema is a well established procedure and
is based on sound surgical principles. When applied in properly
selected patients, rapid recovery with a good functional result is
to be expected. Best results are obtained when the optimal time
for surgical intervention is chosen, usually relatively early in the
course of the process for which it is employed. Although modern
supportive care and antibiotic therapy are important, a properly
performed operation, employed at the proper time, is a major
determinant of a successful outcome.
Thoracoscopic Approach to the Management of Empyema
Thoracis: Indications and Results 491
Mark L. Silen and Keith S. Naunheim
The optimal management of empyema thoracis remains contro¬
versial. The recent development of videoassisted thoracic surgery
(VATS) has dramatically changed the surgical approach to pleural
and thoracic diseases. The role of thoracoscopic surgery in the
management of empyema is evolving. What is presently known
about the effectiveness of the procedure, the timing of its imple¬
mentation, and the indications for its use, are presented.
Intrathoracic Muscle Transposition: Surgical Anatomy and
Techniques of Harvest 501
Stephen Uri Harris and Foad Nahai
The transposition of extrathoracic muscle and soft tissue to the
thoracic cavity is well established in the treatment of various
congenital and acquired thoracic conditions. Precise understand¬
ing of the surgical anatomy of these muscles/soft tissues is vital
to the safe and effective utilization of these techniques. Their
use follows the basic surgical principles of tissue repair without
tension, filling dead space, and using well vascularized tissues
for surgical closures. Close cooperation between the thoracic sur¬
geon and the plastic surgeon is vital in the treatment of these
difficult, and sometimes life threatening, situations.
Management of Postpneumonectomy Empyema and
Bronchopleural Fistula 519
Claude Deschamps, Peter C. Pairolero, Mark S. Allen, and
Victor F. Trastek
Postpneumonectomy empyema with or without fistula is a seri¬
ous complication. Management includes drainage, antibiother
X CONTENTS
apy, debridement, closure of the bronchopleural fistula when
present, and obliteration of the residual pleural space. Excellent
results can be obtained in most patients using the Clagett proce¬
dure and its modification. A detailed description of each step
of the surgical treatment of postpneumonectomy empyema and
associated bronchopleural fistula is provided.
Management of Late Postpneumonectomy Empyema and
Bronchopleural Fistula 529
John C. Wain
Postpneumonectomy empyema, with or without bronchopleural
fistula, is a serious complication that may lead to death or signifi¬
cant morbidity. The condition is best managed by prompt inter¬
vention to identify the presence of a fistula and provide drainage
of sepsis. An aggressive surgical approach to closure of the bron¬
chopleural fistula and obliteration of any residual empyema cav¬
ity using vascularized tissue transposition offers the best long
term results.
Management of Microfistula Following Pulmonary Resection 543
Stanley A. Gall, Jr, and Walter G. Wolfe
Bronchopleural fistula following pulmonary resection is influ¬
enced by the indication for operation, condition of the patient,
and magnitude of resection. A small fistula may present with
subtle symptoms and be difficult to objectively diagnose. Treat¬
ment of bronchopleural fistula is dependent on treating any asso¬
ciated empyema cavity and reclosure of the bronchus, either more
proximally or with vascularized tissue. The approach to treatment
of this population and the use of open pleural drainage, intratho
racic placement of pedicled muscle or omentum, thoracoplasty,
and proximal bronchial closure are discussed in detail.
Fibrin Sealant in Thoracic Surgery: Pulmonary Applications,
Including Management of Bronchopleural Fistula 567
Matthew S. Bayfield and William D. Spotnitz
This article characterizes the pulmonary surgical applications of
fibrin sealant. It discusses the current uses of fibrin sealant in
pulmonary operations; summarizes the available methods of fi¬
brin sealant production; reviews the commercial availability of
fibrin sealant compounds; and elaborates on future developments
for fibrin sealant in the United States.
Natural History of Residual Air Spaces After
Pulmonary Resection 585
Walter L. Barker
Persisting postpulmonary resection residual air spaces had long
been considered a tocsin of impending pleural suppuration with
CONTENTS Xi
or without associated bronchial fistulas. Premature surgical inter¬
ventions have often further complicated this problem. Fortu¬
nately, most spaces are innocuous and do not require aggressive
therapies. The clinical, physiological, and radiological criteria pre¬
sented in this article attempt to distinguish those patients who
can be observed from those who mandate surgical intervention.
Acute and Delayed Space Problems Following
Pulmonary Resection 615
Joseph I. Miller, Jr
The goal at the completion of a pulmonary resection should be
to have no residual space. When a residual space persists either
early or late, there are a number of therapeutic modalities that
can be utilized to deal with this. Early recognition and prevention
whenever possible are the keys to success in dealing with this
problem.
Index 623
Subscription Information Inside back cover
x CONTENTS
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| physical | XII S., S. 403 - 626 Ill. |
| publishDate | 1996 |
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| series | Chest surgery clinics of North America |
| series2 | Chest surgery clinics of North America |
| spelling | Empyema, spaces and fistula Joseph I. Miller, guest ed. Philadelphia [u.a.] Saunders 1996 XII S., S. 403 - 626 Ill. txt rdacontent n rdamedia nc rdacarrier Chest surgery clinics of North America 6,3 Empyème - Chirurgie Empyema surgery Pleuraempyem (DE-588)4146763-2 gnd rswk-swf Fistula bronchopleuralis (DE-588)4430557-6 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Pleuraempyem (DE-588)4146763-2 s DE-604 Fistula bronchopleuralis (DE-588)4430557-6 s Miller, Joseph I. Sonstige oth Chest surgery clinics of North America 6,3 (DE-604)BV005455558 6,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007313538&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Empyema, spaces and fistula Chest surgery clinics of North America Empyème - Chirurgie Empyema surgery Pleuraempyem (DE-588)4146763-2 gnd Fistula bronchopleuralis (DE-588)4430557-6 gnd |
| subject_GND | (DE-588)4146763-2 (DE-588)4430557-6 (DE-588)4143413-4 |
| title | Empyema, spaces and fistula |
| title_auth | Empyema, spaces and fistula |
| title_exact_search | Empyema, spaces and fistula |
| title_full | Empyema, spaces and fistula Joseph I. Miller, guest ed. |
| title_fullStr | Empyema, spaces and fistula Joseph I. Miller, guest ed. |
| title_full_unstemmed | Empyema, spaces and fistula Joseph I. Miller, guest ed. |
| title_short | Empyema, spaces and fistula |
| title_sort | empyema spaces and fistula |
| topic | Empyème - Chirurgie Empyema surgery Pleuraempyem (DE-588)4146763-2 gnd Fistula bronchopleuralis (DE-588)4430557-6 gnd |
| topic_facet | Empyème - Chirurgie Empyema surgery Pleuraempyem Fistula bronchopleuralis Aufsatzsammlung |
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