Title: Evaluation of two stages surgery in chronic empyema thoracis in critical lung disease with special emphasis on thoracomyoplasty
Author:
Kumar, Suresh;
Ahmad, Arshad;
Pandey, Anand;
Kumar, Awanish;
Pahwa, Harvinder;
Garg, Rajeev
Subject:
Empyema thoracis ; Open Window Thoracostomy ; Thoracomyoplasty
Description:
Empyema Thoracis (ET) is a serious condition of the chest that rarely resolves without appropriate therapy. The present paper deals with the staged management of chronic ET with destroyed lung, and use of thoracomyoplasty to improve the outcome of this morbid condition in resource limited condition.All cases of chronic ET were included in this prospective study. The diagnosis was made by clinico-radiological assessment. All patients underwent two-stage surgical treatment- Open Window Thoracostomy(OWT)/Modified Open Drainage (MOD), followed by thoracomyoplasty. The Quality of life scoring was done on a 1 to 20 scale, and included various aspects viz. functional, social, psychological, and financialThe total number of patients (n) was 22 patients. The mean age of the patient was 37 years. The male to female ratio was 1.44:1. In majority, the etiology was tuberculosis. After the stage I, no mortality or revision of surgery was observed. After stage II, for all the aspects of quality of life, excellent scores were achieved. The patient satisfaction was 97.75 %Open window thoracostomy is the obvious choice for severe grades of empyema thoracis, however, thoracomyoplasty not only improves the function but also provides greater relief to the patient in terms of physical, social, psychological, and financial dimensions. It is important in any setup where patients are from low socioeconomic groups.
Is part of:
Indian Journal of Thoracic and Cardiovascular Surgery, 2012, Vol.28(3), pp.180-185
Identifier:
0970-9134
(ISSN); 0973-7723
(E-ISSN); 10.1007/s12055-012-0158-0
(DOI)