Alessandro MaraschiGuy’s Hospital, London
Title: Pleural space infections: clinical and surgical management
Pleural space infections are a common clinical entity affecting a large number of patients. These are associated with considerable morbidity and mortality rate and they require significant healthcare resources. In this presentation, we discuss the disease characteristics with regards to the etiopathogenesis (primary and secondary), clinical presentation, progression of the condition from the exudative to the organizing stage and the radiological findings. Moreover, we focus on the management, which depends on presentation and may vary according to the stage of the disease. Conservative management (medical treatment, pleural drainage, with or without intrapleural fibrinolytic) may be effective in simple pleural space infections, but surgical management may be required to prevent acute sepsis and deterioration or chronic complications. Surgical treatment of complicated pleural infections either by VATS or thoracotomy will be discussed in order to understand when to perform debridement/decortication of the pleural cavity or less frequently a thoracostomy.
Alessandro Maraschi has completed his Thoracic Surgery training in Italy at Turin University and works as a Senior Fellow in Thoracic Surgery at Guy’s Hospital, London. He has a special interest in minimal access surgery, having completed his robotic fellowship certified by Intuitive Surgical Inc. in March 2022.