Page 171 - Livre électronique des RFTP 2025
P. 171

P100.          MANAGEMENT                   OF        PURULENT              PLEURAL

               EFFUSIONS: A REPORT ON 13 CASES


               JEMAL F, MESSAOUDI H, BESROUR H, MEZRI S, HACHICHA S

               CARDIOTHORACIC SURGERY DEPARTMENT, PRINCIPAL MILITARY TEACHING HOSPITAL OF TUNIS
               ENT DEPARTMENT, PRINCIPAL MILITARY TEACHING HOSPITAL OF TUNIS



               Introduction  :  Purulent pleurisy is a medical emergency requiring prompt
               treatment.
               Methods  :  This retrospective study reports on 13 patients treated  with

               thoracoscopic surgery for  purulent pleurisy at the  Principal Military  Teaching
               Hospital of Tunis.

               Results : The majority were male, with a mean age of 49. Most patients presented
               with fever, chest pain, and pleural effusion, confirmed by imaging. All underwent
               thoracoscopy with drainage, debridement, and either total or partial decortication.
               Postoperative recovery showed good lung re-expansion in most cases, though the
               mortality rate was 30.8%.

               Conclusion : Thoracoscopy proved to be an effective, less invasive alternative to
               thoracotomy, offering reduced postoperative pain and complications.
































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