Empyema and broncho pleural fistula

Empyema thoracis is a collection of pus within the pleural space. Bronchopleural fistulas result following failure of the bronchial stump to heal. The aetiological factors include pulmonary infection, lung abscesses and previous surgical procedures, including surgery of the lungs, esophagus, or mediastinum. The empyema cavity must be aggressively drained early and appropriate antibiotic therapy initiated for successful medical therapy. If the empyema cavity cannot be adequately drained by tube thoracostomy, open drainage in preparation for flap surgery will be required.

 

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