[Prevention and management of wound infection and empyema complicating pulmonary resection].
Wound infection and empyema complicating pulmonary resection is considered surgical site infection (SSI). Wound infection after pulmonary resection rarely occurs when preventative measures against SSI are taken. Empyema complicating pulmonary resection is organ/space SSI, and one of the most devastating complications after pulmonary resection. Postresectional empyema is often associated with bronchopleural fistula, which makes the management of empyema difficult and needs expertise. The initial treatment of postresectional empyema should include prompt surgical drainage by closed tube thoracostomy and institution of appropriate antibiotics. Definitive treatment of empyema includes complete obliteration of empyema space and secure closure of bronchopleural fistula if applicable. "Prevention is better than cure" does apply to SSI.
Shiraishi
Yuji
Y
Section of Chest Surgery, Fukujuji Hospital, Kiyose, Tokyo.
D016724:Empyema, Pleural / Q000517:prevention & control / Q000628:therapy*; D006801:Humans; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000517:prevention & control / Q000628:therapy; D013530:Surgical Wound Infection / Q000517:prevention & control* / Q000628:therapy*