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Ann Thorac Surg 1992;54:147-149
© 1992 The Society of Thoracic Surgeons
Divisions of Thoracic Surgery and Plastic and Reconstructive Surgery, Department of Surgery, National Cancer Center Hospital, Tokyo, Japan
Accepted for publication October 14, 1991.
* Address reprint requests to Dr Asamura, Division of Thoracic Surgery, Department of Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104, Japan.
Empyema developed in a 62-year-old man after right pneumonectomy for lung cancer. According to the Clagett procedure, an open window thoracostomy was made with two ribs removed. After 5 weeks, primary closure of the fenestra was attempted. Because the fenestra was too large to be primarily closed, a rectus abdominis musculocutaneous flap was successfully transposed to cover the chest wall. There was no evidence of recurrence of empyema during 11 months' observation after closure. In patients with a large fenestra and with little tissue left for closure, the rectus abdominis musculocutaneous flap could be of great help in completing the Clagett procedure.
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