OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA

Authors

  • Tahir Aslam Lady Reading Hospital MTI, Peshawar Pakistan
  • Amer Bilal Lady Reading Hospital MTI, Peshawar Pakistan
  • Manzoor Ahmed Lady Reading Hospital MTI, Peshawar Pakistan
  • Mohammad Abid Lady Reading Hospital MTI, Peshawar Pakistan
  • Abdul Baseer Lady Reading Hospital MTI, Peshawar Pakistan
  • Khurshid Ahmed Baloch Prince of Songkla University, Hat Yai, Songkhla, Thailand
  • Fawad Ali Lady Reading Hospital MTI, Peshawar Pakistan

DOI:

https://doi.org/10.51253/pafmj.v70i6.3724

Keywords:

Tuberculous empyema, decortication, empyema necessitan, chylothorax

Abstract

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.

Downloads

Download data is not yet available.

Downloads

Published

16-12-2020

Issue

Section

Original Articles

How to Cite

1.
Aslam T, Bilal A, Ahmed M, Abid M, Baseer A, Baloch KA, et al. OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA. Pak Armed Forces Med J [Internet]. 2020 Dec. 16 [cited 2024 Jul. 15];70(6):1799-803. Available from: https://pafmj.org/PAFMJ/article/view/3724