Mini-thoracostomy with vacuum-assisted closure: a minimally invasive alternative to open-window thoracostomy
نویسندگان
چکیده
منابع مشابه
Empyema and bronchopleural fistula. Experience with open window thoracostomy.
Open window thoracostomy (OWT) was created in 12 patients with empyema and sepsis after conventional therapy with antibiotics and drainage had failed. After creation of OWT all infections subsided within ten days to four months and all fistulae closed within one to four months. Complete obliteration of the empyema cavity by granulation tissue occurred in 11 of 12 patients within one to eight mo...
متن کاملMinimally Invasive Vacuum-Assisted Closure Therapy With Instillation (Mini-VAC-Instill) for Pleural Empyema.
Enthusiasm for minimally invasive thoracic surgery is increasing. Thoracoscopy plays a significant therapeutic role in the fibrinopurulent stage (stage II) of empyema, in which loculated fluid cannot often be adequately drained by chest tube alone. For some debilitated and septic patients, further procedures such as open-window thoracostomy (OWT) with daily wound care or vacuum-assisted closure...
متن کاملTreatment of post pneumonectomy pleural empyema by open window thoracostomy.
In 13 patients an open window thoracostomy (OWT) was performed for post pneumonectomy pleural empyema. The operation, and life with an OWT cavity, were tolerated well. Early closure of an OWT is not advisable because of a high chance of recurrence of the infection and, in lung cancer patients also the risk of tumour relapse within two years after tumour surgery.
متن کاملShort-term and long-term outcomes of intrathoracic vacuum therapy of empyema in debilitated patients
BACKGROUND This retrospective study analyzed the effectiveness of intrathoracic negative pressure therapy for debilitated patients with empyema and compared the short-term and long-term outcomes of three different intrapleural vacuum-assisted closure (VAC) techniques. METHODS We investigated 43 consecutive (pre)septic patients with poor general condition (Karnofsky index ≤ 50 %) and multimorb...
متن کاملThe Pigtail Catheter for Pleural Drainage: A Less Invasive Alternative to Tube Thoracostomy
BACKGROUND Tube thoracostomy remains the standard of care for the treatment of pneumothoraces and simple effusions. This report describes a favorable experience with the 8.3 French pigtail catheter as a less invasive alternative to traditional chest tube insertion. METHODS We retrospectively reviewed 109 consecutive pigtail catheter placements. Catheters were inserted under local anesthesia a...
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ژورنال
عنوان ژورنال: Jornal Brasileiro de Pneumologia
سال: 2018
ISSN: 1806-3756,1806-3713
DOI: 10.1590/s1806-37562017000000167