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Vacuum-assisted closure of pleural empyema without classic open-window thoracostomy.
- Source :
-
The Annals of thoracic surgery [Ann Thorac Surg] 2012 May; Vol. 93 (5), pp. 1741-2. - Publication Year :
- 2012
-
Abstract
- A 64-year-old man was diagnosed with complex empyema after a second course of palliative chemotherapy for metastatic lung cancer. Because of the poor general condition of the patient, the decision was made to proceed with vacuum-assisted closure (VAC) therapy of the empyema without Eloesser or Clagett open-window thoracostomy (OWT). Installation and changing of the VAC sponge were performed using the ALEXIS Wound Protector/Retractor (Applied Medical, Rancho Santa Margarita, CA), a flexible polymer membrane tube. After 10 days of VAC treatment, the pleural cavity was sterile and was closed with single stitches. Chemotherapy was resumed 1 week later.<br /> (Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Carcinoma, Non-Small-Cell Lung drug therapy
Carcinoma, Non-Small-Cell Lung pathology
Chemotherapy, Adjuvant
Critical Illness therapy
Empyema, Pleural diagnostic imaging
Empyema, Pleural etiology
Follow-Up Studies
Humans
Lung Neoplasms drug therapy
Lung Neoplasms pathology
Male
Middle Aged
Neoplasm Invasiveness pathology
Neoplasm Staging
Postoperative Complications diagnosis
Postoperative Complications therapy
Risk Assessment
Thoracostomy
Tomography, X-Ray Computed methods
Treatment Outcome
Carcinoma, Non-Small-Cell Lung surgery
Empyema, Pleural therapy
Lung Neoplasms surgery
Negative-Pressure Wound Therapy
Palliative Care methods
Subjects
Details
- Language :
- English
- ISSN :
- 1552-6259
- Volume :
- 93
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Annals of thoracic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 22541219
- Full Text :
- https://doi.org/10.1016/j.athoracsur.2011.12.039