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dc.contributor.authorGoran Kondoven_US
dc.contributor.authorZoran Spirovskien_US
dc.contributor.authorIrena Kondova-Topuzovskaen_US
dc.contributor.authorKokareva Aen_US
dc.contributor.authorRisto Colanceskien_US
dc.contributor.authorM. Srcevaen_US
dc.contributor.authorBorislav Kondoven_US
dc.contributor.authorI. Dzikovskien_US
dc.contributor.authorN. Toleska-Dimitrovskaen_US
dc.contributor.authorSanja Petrusevska-Marinkoviken_US
dc.description.abstractPleural infection is a frequent clinical condition. Prompt treatment has been shown to reduce morbidity, mortality and duration of hospital stay. Unfortunately, advanced stages of empyema need to use extensive surgery - decortications or thoracoplasty. Early recognition of the parapneumonic effusion and the adequate treatment with thoracentesis or pleural drainage, which is minimally invasive, is possible not to prograde the process and not to become empyema. Aim: To analyze the results of the surgical treatment in patients with empyema treated at Clinic for thoracic surgery. Material and methods: In the retrospective study we analyzed 234 patients with empyema which were treated at the Clinic for Thoracic Surgery in 5 year period (2011-2015). The mean age of the patients was 51.94 years. They were treated with pleural drainage, decortications or thoracoplasty. Results: With pleural drainage were treated 165/234 (70.51%) patients, of which successfully were finished 124/165 (75.15%), but 41/165 (24.85%) were indicated after the decortications. A total of 108/234 (46.15%) were treated with decortications from which, primary decortications were indicated in 67/234 (28.63%) patients. 5/234 (2.14%) patients were treated with thoracoplasty – 3 of the patients with decortications and 2 with primary indicated thoracoplasty according to the local findings, long term untreated empyema and bad general condition. The Mean hospitalization was 17.4 days, of which 13.4 days after surgery. In the group with primary drainage it was detected a lethal outcome in 7/124 (5.64%) patients, 5/105 (4.76%) in the group with decortications and 2/5 (40%) in the group with thoracoplasty. Conclusion: Early detection of the parapneumonic effusion and the adequate treatment will prevent the appearance of empyema. If the empyema is detected it is necessary as early as possible to start the treatment with minimally invasive pleural drainage. In earlier stages it is possible to use less invasive decortications, using VATS than the open thoracotomy decortication which is more extensive surgical intervention.en_US
dc.publisherMacedonian Academy of Sciences and Arts / Walter de Gruyter GmbHen_US
dc.relation.ispartofPrilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)en_US
dc.subjectpleural empyemaen_US
dc.subjectthoracic drainageen_US
dc.titleSurgical treatment of pleural empyema – our resultsen_US
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item.grantfulltextopen- of Medicine- of Medicine- of Medicine- of Medicine- of Medicine- of Medicine-
Appears in Collections:Faculty of Medicine: Journal Articles
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