Linked Life Data

8379760

Source:http://linkedlifedata.com/resource/pubmed/id/8379760

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1993-10-18
pubmed:abstractText
The management of complications affecting the pleural space is sometimes technically demanding, but has been enhanced by the recent introduction of thoracoscopic techniques. An empyema in the fibrinopurulent phase is best managed by disruption of the loculations and complete drainage of the infected space. This is easily accomplished with the use of thoracoscopy, which also permits inspection of the pleural space to determine whether additional surgical intervention is required. In contrast, thoracoscopy is not indicated in the management of a free-flowing empyema or a chronic empyema associated with a fibrous capsule. Bronchopleural fistulas are occasionally treated by thoracostomy tube drainage alone, but, in most situations, surgical intervention is necessary to permit reclosure of the bronchus, coverage of the stump with vascularized tissue, and decortication or tissue flap rotation to fill the pleural space. These maneuvers are beyond the capabilities of current thoracoscopic techniques. Chylothorax is best treated initially by intercostal tube drainage and supportive measures. When surgical intervention is necessary to directly close a lymph vessel leak, thoracoscopic techniques have been successful in effecting closure, according to anecdotal reports.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0003-4975
pubmed:author
pubmed:issnType
Print
pubmed:volume
56
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
644-5
pubmed:dateRevised
2005-11-16
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
Thoracoscopy for empyema, bronchopleural fistula, and chylothorax.
pubmed:affiliation
Department of Surgery, University of Chicago Medical Center, IL 60637.
pubmed:publicationType
Journal Article, Review