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Ann Thorac Surg 2006;81:723-725
© 2006 The Society of Thoracic Surgeons

Case report

Management of Empyema Cavity With the Vacuum-Assisted Closure Device

Kimberly A. Varker, MD a , * , Thomas Ng, MD, FACS b

a Surgical Oncology, Roger Williams Medical Center, Providence, Rhode Island, USA
b Department of Surgery, Brown University Medical School, Providence, Rhode Island

Accepted for publication October 8, 2004.

* Address correspondence to Dr Varker, 424 Comprehensive Cancer Center, 410 West 12th Avenue, Columbus, OH 43210 (Email: varker-1{at}medctr.osu.edu).

Management of empyema after pulmonary resection remains a challenging problem. Along with mandatory drainage of the thoracic cavity and investigations to rule out bronchopleural fistula, a reliable method of thoracic cavity closure is needed. The open thoracic window and Eloesser flap techniques rarely represent definitive therapy. Muscle flap and thoracoplasty procedures may provide well-vascularized tissue to close bronchopleural fistula and obliterate the empyema cavity, but they are quite complex and involve significant patient morbidity. We report a case of empyema without bronchopleural fistula after lobectomy in which the vacuum-assisted closure device was used to achieve complete wound healing after open drainage.




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V. Matzi, J. Lindenmann, C. Porubsky, N. Neuboeck, A. Maier, and F. M. Smolle-Juettner
Intrathoracic Insertion of the VAC Device in a Case of Pleural Empyema 20 Years After Pneumonectomy
Ann. Thorac. Surg., November 1, 2007; 84(5): 1762 - 1764.
[Abstract] [Full Text] [PDF]


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