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The Forgotten Problem of Chronic Empyema: Its Successful Surgical Treatment

The Forgotten Problem of Chronic Empyema: Its Successful Surgical Treatment Abstract Despite the availability of modern antibiotics, chronic empyema still presents as a most serious complication of pleural infection. Chronic encapsulations of purulent material can develop and persist even in the course of intensive antimicrobial therapy. Special problems are posed by the various empyemas, depending upon the completeness of encapsulation, the bacteriological etiology, the association of postoperative intrapleural space defects, and the presence or absence of a communicating bronchopleural fistula. Regardless of origin, most empyemas are curable. Aggressive, and, in many instances, radical surgical treatment of empyemas has in our experience, salvaged chronically ill patients, who in the past have been abandoned to a permanent bedridden sanatorium existence. To better evaluate the problem of chronic empyema, we reviewed all cases with this disorder seen during the past 12 years in our own practice and at the Cincinnati General, Veterans Administration, and Dunham Tuberculosis Hospitals. Both tuberculous and pyogenic empyemas were included References 1. Copy of Dr. Tuttle's discussion has not been received for publication. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Forgotten Problem of Chronic Empyema: Its Successful Surgical Treatment

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1960.01300020103016
Publisher site
See Article on Publisher Site

Abstract

Abstract Despite the availability of modern antibiotics, chronic empyema still presents as a most serious complication of pleural infection. Chronic encapsulations of purulent material can develop and persist even in the course of intensive antimicrobial therapy. Special problems are posed by the various empyemas, depending upon the completeness of encapsulation, the bacteriological etiology, the association of postoperative intrapleural space defects, and the presence or absence of a communicating bronchopleural fistula. Regardless of origin, most empyemas are curable. Aggressive, and, in many instances, radical surgical treatment of empyemas has in our experience, salvaged chronically ill patients, who in the past have been abandoned to a permanent bedridden sanatorium existence. To better evaluate the problem of chronic empyema, we reviewed all cases with this disorder seen during the past 12 years in our own practice and at the Cincinnati General, Veterans Administration, and Dunham Tuberculosis Hospitals. Both tuberculous and pyogenic empyemas were included References 1. Copy of Dr. Tuttle's discussion has not been received for publication.

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1960

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