Approach to Empyema Necessitatis

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dc.authorid0000-0001-7432-9827en_US
dc.contributor.authorAkgul, Asli Gul
dc.contributor.authorOrki, Alpay
dc.contributor.authorOrki, Tulay
dc.contributor.authorYuksel, Mustafa
dc.contributor.authorArman, Bulent
dc.date.accessioned2024-07-12T21:57:11Z
dc.date.available2024-07-12T21:57:11Z
dc.date.issued2011en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractThoracic empyema is a collection of pus in the pleural space. Empyema necessitatis is a rare complication of empyema, characterized by the dissection of pus through the soft tissues of the chest wall and eventually through the skin. We present nine cases of empyema necessitatis, including etiology, duration, and characteristics of clinical history, kind of surgery used, and treatment choices. In a 4-year period nine patients were treated for empyema necessitatis. Six were male and 3 female with an age range of 13-89 years (median = 40 years). Empyema necessitatis was treated with drainage and antibiotherapy or antituberculosis therapy in three patients with the diagnosis of tuberculosis or nonspecific pleuritis. Decortication of the thoracic cavity was used in three patients successfully. Others were treated with open drainage. Final diagnoses were tuberculous empyema in five patients, chronic fibrinous pleuritis in three, and squamous cell carcinoma in one. Except for two patients, one with multisystem failure and one with squamous cell carcinoma, all were discharged with no complications. Surgery plays a critical role in the management of empyema necessitatis in selected patients. Tube drainage, open drainage, and decortication are the choices in variable conditions for obliterating the cavity and regenerating pulmonary function.en_US
dc.identifier.doi10.1007/s00268-011-1035-5
dc.identifier.endpage985en_US
dc.identifier.issn0364-2313
dc.identifier.issn1432-2323
dc.identifier.issue5en_US
dc.identifier.pmid21404081en_US
dc.identifier.scopus2-s2.0-79955690675en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage981en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00268-011-1035-5
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8650
dc.identifier.volume35en_US
dc.identifier.wosWOS:000289209000007en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofWORLD JOURNAL OF SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY04027
dc.titleApproach to Empyema Necessitatisen_US
dc.typeArticle
dspace.entity.typePublication

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