[A case of right postpneumonectomy empyema treated by open window thoracostomy, thoracoplasty, pedicled omental flap and musculocutaneous flaps].
A case of right postpneumonectomy empyema treated by open window thoracostomy, thoracoplasty, pedicled omental flap and musculocutaneous flaps is reported. After open window thoracostomy, pedicled omental flap and musculocutaneous flaps transplantation utilizing techniques used in plastic surgery were performed, and right postneumonctomy empyema was successfully treated. In this study, open window thoracostomy was effective against depuration of the empyema cavity and omental and musculocutaneous flaps against the infection control and plombage of the cavity. Furthermore, to maximize the effect of musculocutaneous flaps and to use them effectively, it is thought that techniques utilized in plastic surgery are effective and necessary.
Umemoto
M
M
Department of Thoracic Surgery, Kansai Medical University, Osaka, Japan.
Saitoh
Y
Y
Imamura
H
H
Kusumoto
K
K
Ogawa
Y
Y
D000230:Adenocarcinoma / Q000601:surgery; D004653:Empyema / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D013905:Thoracoplasty; D013907:Thoracostomy / Q000379:methods