Thoracic window and local anesthesia in pleural suppuration

Revista Cubana de Cirugía

Mederos Trujillo, Orestes Luis¹  Barrera Ortega, Juan Carlos¹  Castellanos González, Juan Antonio¹  Olewasegun Abiodun, Adeniran¹  Hospital Universitario Comandante Manuel Fajardo, La Habana, Cuba¹  Mederos Curbelo, Orestes Noel¹ 

关键词: pleural empyema;    toracostomy;    rib resection;    pleurocutaneous window.;   

DOI  :  

学科分类：外科医学

来源: SciELO

【 摘 要 】

Introduction: pleural cavity purulent collection causes high mortality and complications in lung infections processes. It often comes to patients with deterioration of general condition, a situation muchworsened in patients of geriatric age. Objective: to show the experience in using costal thoracostomy and local anesthesia in care for elderly patients with pleural empyema and poor physical condition. Methods:study carried out in 24 patients with pleural empyema, advanced age and poor physical condition cared for from January 1998 to October 2015 at Comandante Manuel Fajardo University Hospital and who also underwent pleurocutaneous window with local anesthesia. Results: average age was 72 years. The male/female ratio was 3 to 1. 75 % of the patients presented associated diseases. The most frequent cause was infested parapneumonic effusion. There was pleurostomy history in 100% of the cases, negative culture in 20.8 %, while the most common germs were streptococcus, staphylococcus and gram-negative bacteria. The resected ribs were the sixth and seventh previous costal arches. El average windows closing time was 8 months. There was no surgical mortality. Conclusion: pleurocutaneous thoracic window is a surgical procedure with low mortality, ideal to settle a pleural cavity tabicada with great utility in patients at geriatric age and in precarious physical condition, from the feasibility of being performing under local anesthesia.

【 授权许可】

Unknown