Treatment of postpneumonectomy empyema and associated bronchopleural fistula. Experience of 100 consecutive postpneumonectomy patients.

Experience in the management of 100 consecutive patients with postpneumonectomy empyema is presented. Open-window thoracostomy was used for treatment of the empyema in all cases. The patients were grouped according to surgical procedure after this treatment. In group 1 the thoracostomy window was left permanently open. In group 2 it was closed, and in group 3 the open pleural cavity was covered with skin, using a pedicle of muscle and skin and free skin transplants. The pectoralis skin pedicle was used to close large bronchopleural fistulas. The results in each group are presented and a staged method, which can be used in all cases of postpneumonectomy empyema, with or without bronchopleural fistula, is described.

[1]  R. Ginsberg,et al.  Open window thoracostomy in the management of postpneumonectomy empyema with or without bronchopleural fistula. , 1983, The Journal of thoracic and cardiovascular surgery.

[2]  D. Weissberg.  Empyema and Bronchopleural Fistula: Experience with Open Window Thoracostomy , 1982 .

[3]  P. Goldstraw.  Treatment of postpneumonectomy empyema: the case for fenestration. , 1979, Thorax.

[4]  S. Eerola.  Pedicle thoracoplasty and free skin transplantations in the treatment of open postpneumonectomy cavity after empyema. , 1976, Scandinavian journal of thoracic and cardiovascular surgery.

[5]  L. Virkkula,et al.  Use of pectoralis skin pedicle flap for closure of large bronchial fistula connected with postpneumonectomy empyema. , 1975, Scandinavian journal of thoracic and cardiovascular surgery.

[6]  L. Virkkula,et al.  Treatment of postpneumonectomy empyema. , 1974, Scandinavian journal of thoracic and cardiovascular surgery.

[7]  Adler Rh,et al.  Post-pneumonectomy empyema. , 1972, Surgery.

[8]  O. Clagett,et al.  Postpneumonectomy emphema. Neomycin instillation and definitive closure. , 1972, The Journal of thoracic and cardiovascular surgery.

[9]  S. Kostiainen,et al.  Postpneumonectomy empyema in pulmonary carcinoma patients. , 1970, Scandinavian journal of thoracic and cardiovascular surgery.

[10]  L. Smith,et al.  Post-irradiation surgery for bronchogenic carcinoma , 1969, Thorax.

[11]  L. Eloesser,et al.  Of an operation for tuberculous empyema. , 1935, The Annals of thoracic surgery.

[12]  R. McElvein,et al.  Management of post-pneumonectomy empyema. Report of a case. , 1968, Diseases of the chest.

[13]  R. K. Hughes,et al.  Complications from preoperative irradiation therapy for lung cancer. , 1967, The Annals of thoracic surgery.

[14]  C. Robinson.  Pyogenic postpneumonectomy empyema. , 1966, Canadian Medical Association journal.

[15]  D. Pecora.  PNEUMONECTOMY FOR PULMONARY TUBERCULOSIS. , 1965, Diseases of the Chest.

[16]  O. Dahlbäck,et al.  [Surgical treatment of bronchial stump insufficiency following pneumonectomy]. , 1965, Thoraxchirurgie und vaskulare Chirurgie.

[17]  R. Cowley,et al.  BRONCHOGENIC CARCINOMA: FURTHER EXPERIENCE WITH PREOPERATIVE IRRADIATION. , 1965, The Annals of thoracic surgery.

[18]  Eriksen Kr,et al.  POSTOPERATIVE INFECTION IN THORACIC SURGERY. , 1964 .

[19]  N. Rossi,et al.  Results of the surgical treatment of bronchogenic carcinoma. , 1963, Surgery, gynecology & obstetrics.

[20]  J. Geraci,et al.  A procedure for the management of postpneumonectomy empyema. , 1963, The Journal of thoracic and cardiovascular surgery.

[21]  P. Antila,et al.  Success and failure of resection therapy for pulmonary tuberculosis. , 1962, Annales chirurgiae et gynaecologiae Fenniae.

[22]  Sealy Wc,et al.  Complications in 430 consecutive pulmonary resections for tuberculosis. , 1959 .

[23]  V. Björk.  Suture material and technique for bronchial closure and bronchial anastomosis. , 1956 .

[24]  R. Overholt,et al.  The place of pulmonary resection in the treatment of tuberculosis. , 1952, Diseases of the chest.

[25]  G. Heuer.  OBSERVATIONS ON THE TREATMENT OF CHRONIC EMPYEMA , 1920, Annals of surgery.