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The Annals of Thoracic Surgery, Vol 19, 585-588, Copyright © 1975 by The Society of Thoracic Surgeons
JI Miller, WH Fleming and CR Hatcher Jr
The patient who needs a pneumonectomy but has an infected pleural cavity
faces the probability of an empyema of the pneumonectomy space. Balanced
drainage of a contaminated space may avoid this very serious complication.
A patient with obstructing bronchogenic carcinoma associated with distal
parenchymal suppuration and empyema is discussed. A pneumonectomy with
balanced drainage of the pleural space was performed. After three weeks the
mediastinum was stable, and daily irrigation of the space with antibiotic
solution was begun. Following foourteen days of irrigation, the cavity was
filled with antibiotic solution and closed. Follow-up has shown no
subsequent space problems or infection. Balanced drainage is a useful
method of dealing with a contaminated pneumonectomy space.
ARTICLES
Balanced drainage of the contaminated pneumonectomy space
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