[Cavernostomy and muscle plombage with the pedicled latissimus dorsi and serratus anterior flap for recurrent large bullae with infection: a case report].
A 70-year-old male, who suffered from infection by MRSA and Aspergillus of the recurrent large bullae, was operated on cavernostomy for space sterilization. About three months later he underwent muscle plombage with the pedicled latissimus dorsi and serratus anterior flap. These muscles are ideal to place in open wound in the thorax because of the following reasons: These have the ability to eliminate local infection, a sufficient length and volume to obliterate an open cavity. And transposition of these muscles cause minimal functional upper extremity disability. Therefore, we considered that this technic was useful for the case of an infectious intrathoracic cavity with many bronchial fistulas.
Miyazawa
H
H
Department of Thoracic Cardiovascular Surgery, Toyama Prefectural Central Hospital, Japan.
Noto
H
H
Toshima
M
M
Kodera
K
K
Morishima
K
K
Nishiya
Y
Y
Fujimura
M
M
D000368:Aged; D000818:Animals; D001228:Aspergillosis / Q000150:complications / Q000601:surgery*; D001768:Blister / Q000601:surgery; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications / Q000601:surgery*; D008297:Male; D009132:Muscles / Q000637:transplantation*; D011656:Pulmonary Emphysema / Q000150:complications / Q000382:microbiology / Q000601:surgery*; D012008:Recurrence; D013203:Staphylococcal Infections / Q000150:complications / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D013907:Thoracostomy