Question 21 (part 2) · LEK · Pleural empyema

In pleural empyema the treatment of choice is:

  1. A. suction drainage of the pleura and culture-based antibiotic treatment.
  2. B. removal of fibrino-purulent masses by means of video-assisted thoracoscopic surgery or open thoracotomy.
  3. C. thoracoplasty.
  4. D. myoplasty or omentoplasty.
  5. E. none of the above.
Hint

Think of the first-line approach to an acute empyema while the pus is still liquid, before fibrin organisation.

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