Abstract
ONCLUSION Video assisted thoracoscopic surgery is a safe and effective procedure to treat empyema thoracis, when tube thoracostomy fails or if the empyema is loculated with dense pleura. All the stages of empyema can effectively and safely be treated by VATS. Empyema at later stages can be treated effectively with VATS. Open thoracotomy should be reserved when VATS fails as thoracotomy, as it leads to more morbidity and prolongs the hospital stay Our experience in this case, leads us to conclude that appropriate choice of anaesthesia is essential for outcome of the patient. Epidural analgesia for thoracic surgeries in conjunction with general anaesthesia, is effective as it reduces surgical stress, decreases anaesthetic requirement, and helps extubation on table with faster recovery.
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