Resumen

VARGAS-MENDOZA, Gary Kosai; SALAZAR-MADRAZO, Paola Susette; VAZQUEZ-LOPEZ, Saúl  y  CORTES-TELLES, Arturo. Manejo del empiema complicado con ventana torácica y sistema de presión negativa. Rev. am. med. respir. [online]. 2018, vol.18, n.3, pp.184-188. ISSN 1852-236X.

Background: Thoracic empyema is defined as a purulent pleural effusion. Its most common origin is parapneumonic, nonetheless, post-surgical or post-traumatic empyema can also occur. Empyema has a progressive three-phase evolution and the treatment must focus to the evolutionary phase, cause of the disease and overall state of the patient. Some cases would undergo through thoracotomy with thoracic window open drainage to solve the disease. Material and Methods: This is an observational, retrospective and descriptive study based on all consecutive patients with empyema who underwent thoracotomy with thoracic window open drainage in a 3rd level hospital in the southeast of Mexico between october 2015 and june 2017. Results: We identified 6 cases. Median of age was 46 years (IQR 34-47) and 67% were male. The negative pressure system was placed in the 6th day of surgery (IQR 5-7). Median time of use was 61 days (IQR 43-148). Finally, the length of hospital stay was 72 days (IQR 49-87). 67% of the cases had chest window closure with adequate lung expansion. Conclusions: when we face a clinical scenario with chronic empyema, an integral therapy that includes thoracic window thoracotomy with a negative pressure system is an acceptable treatment strategy. Subsequent studies are required in order to ratify the results

Palabras clave : Empyema; Open window thoracic; Negative system pressure; Surgery.

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