PMID: 9527221Apr 4, 1998Paper

Open-window thoracostomy and thoracomyoplasty to manage chronic pleural empyema

The Annals of Thoracic Surgery
M García-YusteJ M Matilla

Abstract

The purpose of this study is to report our 15-year experience treating chronic empyemas after pulmonary resection and tuberculosis. Open-window thoracostomy and thoracomyoplasty were used to treat 40 patients with chronic pleural empyema characterized by residual empyematic cavity, bronchopleural fistula, and persistent pleural infections that were secondary to tuberculosis (n = 22) or pulmonary resection (n = 18). Between 2 and 7 months after thoracostomy, thoracomyoplasty was performed to eliminate a persistent pleural cavity. In 2 patients with postpulmonary resection empyema and a large bronchopleural fistula, intrathoracic transposition of the latissimus dorsi flap and open-window thoracostomy were performed simultaneously to close the fistula. The pleural space was eliminated per primam intentionem in 21 of 22 patients with tuberculosis and in 14 of 18 with a postpulmonary resection empyema. Another myoplasty was performed in an additional 3 patients to eliminate the pleural space. During open-window thoracostomy, the latissimus dorsi muscle was preserved with minimal injury to the anterior serratus muscle. One patient died postoperatively. Successful treatment of chronic pleural empyema requires adequate timing of surgic...Continue Reading

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Citations

Oct 14, 2006·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Maximilian PichlerWinfried Padberg
Feb 14, 2009·General Thoracic and Cardiovascular Surgery·Masanori KanedaTakashi Sakai
Jul 16, 2010·General Thoracic and Cardiovascular Surgery·Yuji Shiraishi
Nov 18, 2000·The Annals of Thoracic Surgery·Y ShiraishiS Yoshida
Aug 7, 2003·The Annals of Thoracic Surgery·Vinod H ThouraniJoseph I Miller
Oct 30, 1999·The Annals of Thoracic Surgery·P IcardC Evrard
Jul 14, 2000·Respirology : Official Journal of the Asian Pacific Society of Respirology·A MaierF M Smolle-Jüttner
Mar 29, 2000·The Annals of Thoracic Surgery·M S TopcuogluT Ulus
May 17, 2014·Surgical Infections·Sławomir JabłońskiMarcin Kozakiewicz
Apr 20, 2001·Seminars in Thoracic and Cardiovascular Surgery·R J Ginsberg, D V Saborio
Jul 14, 2012·Thoracic Surgery Clinics·Marco AlifanoJean-François Regnard
May 19, 2012·The Annals of Thoracic Surgery·Ian FournierMichel Gonzalez
Oct 1, 2011·The Annals of Thoracic Surgery·Ilir HysiHenri Porte
Mar 27, 2007·Annales de chirurgie plastique et esthétique·A BelmahiS El Aziz
May 15, 2007·ANZ Journal of Surgery·Rauf GorurTurgut Isitmangil
Jun 27, 2006·The Annals of Thoracic Surgery·Salman ZaheerPeter C Pairolero
Jun 27, 2006·The Annals of Thoracic Surgery·Fabio MasseraGaetano Rocco
Dec 22, 2010·The Annals of Thoracic Surgery·Alessandro StefaniJean-Francois Regnard
Jun 6, 2012·Pulmonary Medicine·Petre Vlah-Horea Botianu, Alexandru Mihail Botianu
Aug 5, 2000·The Journal of Thoracic and Cardiovascular Surgery·J F RegnardP Levasseur
Oct 23, 2016·Journal of Cardiothoracic Surgery·Zsolt SziklavariHans-Stefan Hofmann
Feb 24, 2009·The Annals of Thoracic Surgery·Fabio MasseraGaetano Rocco
Jun 4, 2016·Plastic and Reconstructive Surgery. Global Open·Jenny T ChenMichael L Bentz
Jan 1, 2013·Réanimation : Journal De La Société De Réanimation De Langue Française·A Rabbat, M Alifano
Apr 7, 2019·Surgical Case Reports·Tetsuya FukuiSatoko Yamawaki
Dec 10, 2002·Chest Surgery Clinics of North America·Jean DeslauriersJocelyn Grégoire

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